Individual
TIMOTHY LEINBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
W3575 CUMBERLAND DR, BERLIN, WI 54923-7627
(920) 229-2636
Mailing address
W3575 CUMBERLAND DR, BERLIN, WI 54923-7627
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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