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Individual

DR. LEROY PEARCE MCCARTY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8100 W 78TH ST, SUITE 225, EDINA, MN 55439-2516
(952) 946-9777
(952) 946-9888
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47537
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01044016
PREFERRED ONE
MN
01
0901868
MEDICA
MN
01
132999E505
UCARE MINNESOTA
MN
01
163P4MC
BLUE CROSS/SHIELD
MN
01
2347733
AMERICA'S PPO
MN
05
911402500
MN
01
HP50708
HEALTHPARTNERS
MN
Enumeration date
02/22/2006
Last updated
03/22/2021
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