Provider Demographics
NPI:1902163561
Name:WOJCIECHOWSKI, LEAH J L (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:J L
Last Name:WOJCIECHOWSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:920 E 28TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1195
Mailing Address - Country:US
Mailing Address - Phone:612-863-3900
Mailing Address - Fax:612-863-6006
Practice Address - Street 1:920 E 28TH ST STE 300
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1195
Practice Address - Country:US
Practice Address - Phone:612-863-3900
Practice Address - Fax:612-863-6006
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2015-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN11037363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant