Dr Timothy A Leafblad, MD | |
14000 Fairview Dr, Burnsville, MN 55337-5713 | |
(952) 993-8673 | |
Not Available |
Full Name | Dr Timothy A Leafblad |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 14000 Fairview Dr, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912982323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2085R0202X | Radiology - Diagnostic Radiology | 26856 (Minnesota) | Primary |
Entity Name | Tria Orthopaedic Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
Mailing Address | Practice Location Address |
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Dr Timothy A Leafblad, MD 3800 Park Nicollet Blvd, Credentialing, St Louis Park, MN 55416-2527 Ph: () - | Dr Timothy A Leafblad, MD 14000 Fairview Dr, Burnsville, MN 55337-5713 Ph: (952) 993-8673 |
Raul Fernandez-gonzalez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-435-8668 Fax: 952-435-5567 | |
Lenore I Everson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2428 E 117th St, Burnsville, MN 55337 Phone: 612-444-3000 Fax: 612-449-0004 | |
Dr. Jeffrey Jon Willis, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 835 E 145th St, Burnsville, MN 55337 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Daniel Hayward, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700 |