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Individual

DR. SAMUEL LEAF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(810) 606-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101020957
MI
207P00000X
Emergency Medicine Physician
68361-21
WI

Other

Enumeration date
04/24/2014
Last updated
02/12/2024
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