Organization
PORTAGES HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD READ SULIK MD (SOLE MBR)
(320) 492-2232
Entity
Organization
Contact information
Practice address
310 4TH AVE S STE 5010, MINNEAPOLIS, MN 55415-1053
(320) 492-2232
Mailing address
310 4TH AVE S STE 5010, MINNEAPOLIS, MN 55415-1053
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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