NPI 1023093341

Wayne D Liebhard, MD

Practitioner Family Medicine Physician St Louis Park, MN

Practice location

Address: 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone: (952) 993-3025
Mailing address: 6465 Wayzata Blvd STE 315, St Louis Park, MN 55426-1728

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 28542 (MN)

Other Family Medicine providers in Minnesota →

Registry record

NPI: 1023093341
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2005
Record last updated: 24 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.