Individual
NANETTE LIEGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.PH.D.
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
036129043
IL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
60872
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402693400
—
MD
Enumeration date
06/10/2006
Last updated
10/06/2014
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