Individual
DR. LEAH A NITKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36109515
IL
207R00000X
Internal Medicine Physician
Primary
47005
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43515600
—
WI
Enumeration date
08/23/2006
Last updated
06/18/2024
Update your record
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