Leo Fred Vickerman LADC

  • NPI 1548490048
According to our database, the NPI number for Leo Fred Vickerman LADC is 1548490048 and activated since 14 years ago. Leo Fred Vickerman LADC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1132 Central Ave Ne, Minneapolis, MN 55413. You can also contact Leo Fred Vickerman LADC via telephone number is (612) 236-1700. Provider NPI information was last updated on 07/17/2009.

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Overview of Leo Fred Vickerman LADC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/17/2009
  • Last updated: 07/17/2009

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 302510
  • License State: MN

Provider Mailing Address

  • Address: 1121 Jackson St Ne
    Suite 105
    Minneapolis, MN 55413
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1132 Central Ave Ne
    Minneapolis, MN 55413
  • Phone: 612-236-1700
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 302510
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Leo Fred Vickerman LADC?
  • A: The npi number for Leo Fred Vickerman LADC is 1548490048.
  • Q: What are Leo Fred Vickerman LADC's specialties?
  • A: Leo Fred Vickerman LADC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Leo Fred Vickerman LADC?
  • A: The medical license number for Leo Fred Vickerman LADC is 302510 and issued in MN in USA.
  • Q: Where is Leo Fred Vickerman LADC practice location?
  • A: Leo Fred Vickerman LADC is practicing at 1132 Central Ave Ne, Minneapolis, MN 55413.
  • Q: How to contact Leo Fred Vickerman LADC?
  • A: You can contact Leo Fred Vickerman LADC via 612-236-1700.