Individual
MR. DAVID HANSON LEIGH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1532 W CLYBOURN ST, MILWAUKEE, WI 53233-2202
(414) 288-6078
Mailing address
N84W14792 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-3229
(262) 255-4173
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
247-039
WI
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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