Individual
LEAH SUZANNE WISNIEWSKI
Active
Individual
LEAH SUZANNE WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
13820
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5722
WI
363AM0700X
Medical Physician Assistant
Primary
5722
WI
Other
Enumeration date
08/02/2021
Last updated
06/04/2026
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