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Dr. Jack L Liebo, MD
Family Medicine Physician in St Louis Park, Minnesota
NPI 1649255464

Jack L Liebo is a Family Medicine Physician based in St Louis Park, MN. Jack L Liebo practices in St Louis Park, MN and has the professional credentials of MD. The NPI Number for Jack L Liebo is 1649255464 and holds a License No. 24488 (Minnesota).

The current practice location address for Jack L Liebo is 3931 Louisiana Ave S, St Louis Park, MN and can be reached out via phone at 952-993-3230.

Location: 3931 Louisiana Ave S, St Louis Park, MN, 55416-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649255464
Provider Name
Jack L Liebo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3931 Louisiana Ave S, St Louis Park, MN, 55416-2527
Phone Number
952-993-3230
Fax Number
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3931 Louisiana Ave S
City
St Louis Park
State
Minnesota
Zip
55426-4375
Phone Number
952-993-3230
Fax Number
person
Provider Business Mailing Address Details
Address
3931 Louisiana Ave S
City
St Louis Park
State
Minnesota
Zip
55426-4375
Phone Number
952-993-3230
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
24488 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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