New Leaf Medical, Pllc

NPI #1316369911 in Wayzata, Minnesota

Provider Information

NPI Number
1316369911
Entity Type
Organization
Organization Name
New Leaf Medical, Pllc
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jan 16, 2014
Last Updated
Jan 16, 2014

Practice Location

Address
3622 COUNTY ROAD 101 S
ZIP Code
55391-3424
Phone
(952) 777-2355

Authorized Official

Name
SANDRA KAY WIITA, MD
Title
SOLE SHAREHOLDER
Phone
(952) 777-2355

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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