Wayne D Liebhard M.D.

NPI 1023093341 - Family Medicine - 207Q00000X

NPI Details
NPI 1023093341
Gender Male
Enumeration Date 12/09/2005
Last Updated 10/24/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3850 PARK NICOLLET BLVD
ST LOUIS PARK MN, 55416-2527, US
Phone (952) 993-3025
Fax
Business Location
6465 WAYZATA BLVD
STE 315
ST LOUIS PARK MN, 55426-1728, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 28542
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According to our database, Dr. Wayne D Liebhard M.D. NPI is 1023093341, taxonomy code is 207Q00000X and license number is 28542, license state is located at Minnesota. Wayne D Liebhard M.D. physically located at 3850 Park Nicollet Blvd, St Louis Park MN, 55416-2527. NPI Number Wayne D Liebhard M.D. has the Individual type.

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1023093341 NPI number is provided on an as is basis without warranty of any kind. 1023093341 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne D Liebhard M.D. are for informational purposes only.