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Individual

DR. LESLIE E FISHMAN

Active
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Individual

DR. LESLIE E FISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25850
MN
208000000X
Pediatrics Physician
Primary
45386
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902886997
CO
05
26501511
CO
05
612272800
MN
Enumeration date
01/18/2006
Last updated
02/20/2017
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