Individual
DR. GREGORY LEE LEISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
611 STEVENS DR, WAUSAU, WI 54401-3006
(715) 848-2020
Mailing address
611 STEVENS DRIVE, WAUSAU, WI 54401-3006
(715) 848-2020
(715) 845-6669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2687
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38601100
—
WI
Enumeration date
01/29/2007
Last updated
04/18/2023
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