JACK L LIEBO

ST LOUIS PARK, MN
NPI1649255464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  24488)
Enumeration Date2005-12-14
Last Update Date2012-03-02
Business Address
DR. JACK L LIEBO M.D.
3931 LOUISIANA AVE S STE E400
ST LOUIS PARK, MN 55426-4375
Phone number: 952-993-3230
Mailing Address
DR. JACK L LIEBO M.D.
3800 PARK NICOLLET BLVD CREDENTIALING
ST LOUIS PARK, MN 55416-2527
Phone number:
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