Dr. Darin Tracy Leetun
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
3035 Demers Ave
Grand Forks
, North Dakota 58201-4040
Dr. Darin Tracy Leetun
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
3035 Demers Ave
Grand Forks
, North Dakota 58201-4040
(701) 746-7521
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Darin Tracy Leetun
- 3035 Demers Ave
- Grand Forks, ND
- Zip : 58201-4040
- Phone : (701) 746-7521
Second Address
- Dr. Darin Tracy Leetun
- 3035 Demers Ave
- Grand Forks, ND
- Zip : 58201-4040
- Phone : (701) 746-7521
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 8133 | ND |
| N | 207X00000X | Orthopaedic Surgeon | MI43084882 | MI |
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | NA | ND |
National Provider Identifier
| NPI | 1225080476 |
|---|---|
| Provider Name | Dr. Darin Tracy Leetun |
| First Address | Grand Forks, ND 58201-4040 |
| Second Address | Grand Forks, ND 58201-4040 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 30/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0829560001 | MEDICARE DME (01) | MI |
| 0C16002 | MEDICARE GROUP (01) | MI |
| 104727842 | (05) | MI |
| DL084882 | BLUECROSS STATE ID (01) | MI |
| G82888 | (02) | MI |
| N719280 | (02) | ND |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.