Individual
DR. WILLIE J LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, D.C.
Contact information
Practice address
852 PROSPECT ST, PLANTSVILLE, CT 06479-1011
(617) 594-9372
Mailing address
852 PROSPECT ST, PLANTSVILLE, CT 06479-1011
(617) 594-9372
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
001849
CT
363AS0400X
Surgical Physician Assistant
Primary
3056
CT
Other
Enumeration date
08/10/2010
Last updated
02/27/2014
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