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Individual

WILLIAM C LEACH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10909 W BLUEMOUND RD, MILWAUKEE, WI 53226-4247
(414) 258-0606
(414) 258-1953
Mailing address
10909 W BLUEMOUND RD, MILWAUKEE, WI 53226-4247
(414) 258-0606
(414) 258-1953

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25333
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30018700
WI
Enumeration date
09/19/2005
Last updated
07/08/2007
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