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Individual

TAMARA L. LEAHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(800) 782-8581
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(800) 782-8581

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4602
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003190018
NPI
WI
Enumeration date
10/10/2011
Last updated
10/25/2013
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