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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENNETT LEITCH, PA

Active

BENNETT LEITCH, PA is a Physician Assistant healthcare provider located in SAINT CLOUD, Minnesota. NPI 1629519418 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SAINT CLOUD, MN

Registration Details

NPI Number
1629519418
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2017 (9.4167486970324 yrs)
Last Updated
Apr 21, 2022
License
727-16 (ND)

Practice Information

Address
1900 CENTRACARE CIR STE 500
SAINT CLOUD, MN, 563035000
Browse MN providers · Browse ZIP 56303
Phone
3202532663
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SAINT CLOUD, MN

Name Credential NPI
WILLIAM J LUND PA 1275523870
MR. GERALD ALLEN TAYLOR PAC 1588647853
MRS. MICHELE MARIE GARCIA PA-C 1669455242
MARK ALLEN RUDEL PA 1194799981
EUNICE B WESLANDER PAC 1215902879
BARRY A RADIN PAC 1669447215
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.