Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark C Leefeldt, OA

Individual provider Physician Assistant · NPI 1790764660

Mr. Mark C Leefeldt, OA is a Physician Assistant in St Louis Park, Minnesota. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

6490 Excelsior Blvd Ste E400
St Louis Park, MN 55426-4705
Phone: (952) 993-3230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1790764660
Entity typeIndividual (Type 1)
GenderMale
Credentials OA
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESJuly 13, 2026

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