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NPI Code Detail

MEDICARE: DR. LEIGHANNE H HOUSERMAN MD

MEDICARE: DR. LEIGHANNE H HOUSERMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician36896MN

General Provider Information

NPI Number : 1063487684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEIGHANNE H HOUSERMAN MD
Provider Business Mailing Address
First Line : 15175 EDGEWOOD DR
Second Line : #135
City : BAXTER
State : MN
Zip : 56401-6949
Country : US
Telephone Number : 218-824-6666
Fax Number : 218-824-5058
Provider Business Practice Location Address
First Line : 815 2ND ST SE
Second Line : EMERGENCY DEPT
City : LITTLE FALLS
State : MN
Zip : 56345-3505
Country : US
Telephone Number : 320-632-5441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 07/16/2014

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Directions to “ DR. LEIGHANNE H HOUSERMAN MD” Practice Location

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