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Individual
DR. LEIGHTON MARK
Active
Individual
DR. LEIGHTON MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
25648
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000124I
HUMANA
—
05
—
1114970852
—
WI
01
—
300041524
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
05/13/2014
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