Individual provider · Type 1 NPI

Leif Per-Alden Sundberg, PA-C

Physician Assistant · White Bear Lake, MN

NPI number 1013592708 Active

Practice location

4786 Banning Ave
White Bear Lake, MN 55110-3264

Call (651) 426-6402 Map

Fax (651) 429-3402

Mailing address

2025 Sloan Pl Ste 35
St. Paul, MN 55117-2092

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13719 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013592708

Leif Per-Alden Sundberg, PA-C's National Provider Identifier is 1013592708, issued on Mar 14, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in White Bear Lake, MN. The record was last updated on Jul 12, 2021.