Individual
DR. LEANN F NITSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8780 LINCOLN STREET, SAVAGE, MD 20763-5001
(212) 782-7993
Mailing address
8780 LINCOLN STREET, SAVAGE,, MD 20763
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30476 020
WI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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