Leif Per-Alden Sundberg, PA-C

NPI #1013592708 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1013592708
Entity Type: Individual
Name: Leif Per-Alden Sundberg, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 14, 2021
Last Updated: Jul 12, 2021

Practice Location

Address: 4786 BANNING AVE
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-3264
Phone: (651) 426-6402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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