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Individual
LEONARD L GO
Active
Individual
LEONARD L GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
32290-020
WI
2086S0120X
Pediatric Surgery Physician
Primary
32290-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32435700
—
WI
01
—
6314
DEAN HEALTH INSURANCE
WI
Enumeration date
04/27/2006
Last updated
03/02/2010
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