Provider Demographics
NPI:1245862846
Name:LEINTZ, CAARA HIRSCH (PA)
Entity type:Individual
Prefix:
First Name:CAARA
Middle Name:HIRSCH
Last Name:LEINTZ
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:4553 BRUNSWICK AVE N
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55422-1014
Mailing Address - Country:US
Mailing Address - Phone:612-458-8410
Mailing Address - Fax:
Practice Address - Street 1:3800 PARK NICOLLET BLVD
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2527
Practice Address - Country:US
Practice Address - Phone:952-993-3123
Practice Address - Fax:952-993-3286
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical