Individual
KATY MARIE SCHALLA LESIAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2525 CHICAGO AVE S, CHILDRENS PRIMARY CLINIC MPLS, MINNEAPOLIS, MN 55404
(612) 813-6107
(612) 813-7473
Mailing address
2910 CENTRE POINTE DR, 35-121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1481301
MN
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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