| NPI Details | |
|---|---|
| NPI | 1043301369 |
| Gender | Male |
| Enumeration Date | 09/28/2006 |
| Last Updated | 07/09/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 811 3RD ST CARLTON MN, 55718-9228, US |
|
| Phone | (763) 689-5385 |
| Fax | |
| Business Location | |
|---|---|
| 811 3RD ST CARLTON MN, 55718, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 235Z00000X |
| License State | Minnesota |
| License Number | 5157 |
| Remove 1043301369 NPI Number | |
According to our database, Gerald Lieberg SLP NPI is 1043301369, taxonomy code is 235Z00000X and license number is 5157, license state is located at Minnesota. Gerald Lieberg SLP physically located at 811 3rd St, Carlton MN, 55718-9228. NPI Number Gerald Lieberg SLP has the Individual type.
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1043301369 NPI number is provided on an as is basis without warranty of any kind. 1043301369 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Lieberg SLP are for informational purposes only.
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