Walter Bertram Leino

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19200 Issued in MN

Practice address

300 W Conan St
Ely, MN 55731-1145

Phone

(218) 365-7900

NPI assigned

Jun 20, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SMDC Medical Center

  dba Essentia Health Duluth-Amberwing Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Duluth, MN
  • NPI 1235488438
  NPD (past)
• The Duluth Clinic, LTD.

  dba Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033154117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CONAN ST",
            "city": "ELY",
            "state": "MN",
            "postal_code": "557311145",
            "telephone_number": "218-365-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CONAN ST",
            "city": "ELY",
            "state": "MN",
            "postal_code": "557311145",
            "telephone_number": "218-365-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINO",
        "first_name": "WALTER",
        "middle_name": "BERTRAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "19200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Beth Kaercher
• Andrea Kristen Kannas, DC
• Colleen Kloehn, CRNA
• Jeanann Dawn Larson, RPH
• Lisa Leighton, LPN
• Brielle A Loe, MD
• Ruth Ann Logar, CRNA
• Robert Mattson, DC CCSP
• Corie Stewart McKibben, MSW, LICSW
• Minneapolis Vamc

• Family Medicine Physician in Ely, MN
• Providers in Ely, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.