Individual
LEAH FYNAARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 456-7601
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8856
WI
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100407727
—
WI
Enumeration date
06/17/2025
Last updated
05/05/2026
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