person
Wayne Frederick Leebaw, MD
Specialist in Edina, Minnesota
NPI 1033178405

Wayne Frederick Leebaw is a Specialist based in Edina, MN. Wayne Frederick Leebaw practices in Edina, MN and has the professional credentials of MD. The NPI Number for Wayne Frederick Leebaw is 1033178405 and holds a License No. 23267 (Minnesota).

The current practice location address for Wayne Frederick Leebaw is 7701 York Ave S, Edina, MN and can be reached out via phone at 952-927-7810 and via fax at 952-927-6309.

Location: 7701 York Ave S, Edina, MN, 55435-5845
person
Provider Profile Details
NPI Number
1033178405
Provider Name
Wayne Frederick Leebaw
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7701 York Ave S, Edina, MN, 55435-5845
Phone Number
952-927-7810
Fax Number
952-927-6309
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
120263C626 01 MN UCARE
21002 01 MN AMERICA'S PPO
3317283 01 MN MEDICA CHOICE
410999025 01 MN TRICARE
656388100 05 MN
0256006 01 MN SELECT CARE
3300003 01 MN MEDICA PRIMARY
HP13803 01 MN HEALTH PARTNERS
53967LE 01 MN BLUE CROSS BLUE SHIELD
960540799004 01 MN PREFERRED ONE
104082 01 MN PATIENT CHOICE
institution
Provider Business Practice Location Address Details
Address
7701 York Ave S
City
State
Zip
55435-5845
Phone Number
952-927-7810
Fax Number
952-927-6309
person
Provider Business Mailing Address Details
Address
7701 York Ave S
City
State
Zip
55435-5845
Phone Number
952-927-7810
Fax Number
952-927-6309
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
23267 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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