Individual
DR. LEART NEZIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 325-5244
Mailing address
PO BOX 735044, CHICAGO, IL 60673-2843
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72365-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096837
—
WI
Enumeration date
03/28/2018
Last updated
09/24/2024
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