Individual
MARY C MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3001 SANFORD PKWY, THIEF RIVER FALLS, MN 56701-2700
(218) 681-4240
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R21598
ND
Other
Enumeration date
09/30/2006
Last updated
06/24/2022
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