Leland Karl Martin PHD

NPI 1003855743 - Psychologist - 103TC0700X

NPI Details
NPI 1003855743
Gender Male
Enumeration Date 06/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10560 WAYZATA BLVD
MINNETONKA MN, 55305-1524, US
Phone (952) 595-0562
Fax (952) 595-0564
Business Location
10560 WAYZATA BLVD
MINNETONKA MN, 55305-1524, US
Phone (952) 595-0562
Fax (952) 595-0564
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP3095
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According to our database, Dr. Leland Karl Martin PHD NPI is 1003855743, taxonomy code is 103TC0700X and license number is LP3095, license state is located at Minnesota. Leland Karl Martin PHD physically located at 10560 Wayzata Blvd, Minnetonka MN, 55305-1524. NPI Number Leland Karl Martin PHD has the Individual type.

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1003855743 NPI number is provided on an as is basis without warranty of any kind. 1003855743 is maintained by the National Plan & Provider Enumeration System. The contents of Leland Karl Martin PHD are for informational purposes only.