TRACI L LEITHEISER

FARGO, ND
NPI1629645031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-06-06
Last Update Date2021-10-13
Business Address
TRACI L LEITHEISER MPAS, PA-C
5225 23RD AVE S
FARGO, ND 58104-7927
Phone number: 701-417-2000
Mailing Address
TRACI L LEITHEISER MPAS, PA-C
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-312-2373