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Individual

THOMAS W LEITHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
26978
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110905
U CARE
01
2114022
FIRST HEALTH PLAN
01
3100290(PL)
MEDICA HEALTH PLANS
01
3120409
MEDICA HEALTH PLANS
01
390003513
RR MEDICARE
01
600880
ARAZ GROUP AMERICAS PPO
01
686508900
MEDICAL ASSISTANCE
01
6D072LE
BLUE CROSS BLUE SHIELD
01
986015
PREFERRED ONE
01
CU0204
RR MEDICARE
01
HP25474
HEALTH PARTNERS
Enumeration date
10/25/2005
Last updated
10/12/2011
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