DR. CORRINE LEISTIKOW, M.D.
Family Medicine
Active
Individual
NPI: 1417922774
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Obstetrics & Gynecology - Obstetrics | 207VX0000X | No | 2487 (AK) |
| Family Medicine | 207Q00000X | Yes | 2487 (AK) |
Frequently Asked Questions
NPI 1417922774 is the National Provider Identifier for DR. CORRINE LEISTIKOW, M.D., a Family Medicine provider located in Fairbanks, AK. This NPI was enumerated on February 21, 2006.
DR. CORRINE LEISTIKOW, M.D. practices at 1001 NOBLE ST, Fairbanks, AK 99701.
Quick Facts
- NPI
- 1417922774
- Type
- Individual
- Enumerated
- Feb 21, 2006
- Last Updated
- Mar 7, 2023
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