Leslie Pratt

NPI 1003891565 - Obstetrics & Gynecology - 207VM0101X

NPI Details
NPI 1003891565
Gender Male
Enumeration Date 12/07/2005
Last Updated 03/06/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
3931 LOUISIANA AVE S
STE E111
ST LOUIS PARK MN, 55426-4375, US
Phone (952) 993-5900
Fax (952) 993-3213
Business Location
3800 PARK NICOLLET BLVD
CREDENTIALING
ST LOUIS PARK MN, 55416-2527, US
Phone
Fax
Toxanomy
Taxonomy Code 207VM0101X
License State Minnesota
License Number 24365
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According to our database, Leslie Pratt NPI is 1003891565, taxonomy code is 207VM0101X and license number is 24365, license state is located at Minnesota. Leslie Pratt physically located at 3931 Louisiana Ave S, St Louis Park MN, 55426-4375. NPI Number Leslie Pratt has the Individual type.

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1003891565 NPI number is provided on an as is basis without warranty of any kind. 1003891565 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Pratt are for informational purposes only.