Individual
ERIC RAY LEVEILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32021 CTY RD 24 BLVD, CANNON FALLS, MN 55009
(507) 263-4221
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32472
MN
207Q00000X
Family Medicine Physician
Primary
74666
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2022
Last updated
03/26/2025
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