Individual
DR. LESLIE WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 MACARTHUR BLVD STE 404, MUNSTER, IN 46321-2919
(219) 836-2995
Mailing address
1209 WASHINGTON AVE, APARTMENT 616, SAINT LOUIS, MO 63103-1996
(301) 335-6176
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01082477A
IN
2084N0400X
Neurology Physician
28017
NE
Other
Enumeration date
07/14/2009
Last updated
07/10/2019
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