Individual
BRETT J LEIKNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
65977-20
WI
207Q00000X
Family Medicine Physician
65977-20
WI
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
65977
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062290
—
WI
Enumeration date
11/03/2016
Last updated
11/10/2025
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