Individual
DIANE MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HEALTHPARTNERS REGIONS SPECIALTY CLINICS, 640 JACKSON ST - MAIL STOP 11109E, SAINT PAUL, MN 55101
(651) 254-3456
Mailing address
PO BOX 1309, MAIL STOP 21110Q, MINNEAPOLIS, MN 55440-1309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12691
MN
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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