DR. STEPHEN A. LESLIE M.D.

Allergy and Immunology

St Cloud, Minnesota

Provider NPI: 1366479032

Provider Information:
DR. STEPHEN A. LESLIE M.D.


Practice Location:
1900 CENTRACARE CIRCLE CENTRACARE CLINIC- WOMEN'S & CHILDRENS ST CLOUD, MN 56303 US
Tel: 320-654-3630  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	MN	51744

Other Provider Identifiers:

Issuer	Number	State	Type
	0215590	IA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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