Individual
LEAH EBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 364-3600
(920) 364-3900
Mailing address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 364-3600
(920) 364-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5607
WI
Other
Enumeration date
05/20/2021
Last updated
09/12/2022
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