Individual
JOHN J. LEISGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5525 MARIE AVE, CINCINNATI, OH 45248
(513) 981-5463
(513) 598-2242
Mailing address
5525 MARIE AVE, CINCINNATI, OH 45248-3230
(513) 981-5463
(513) 598-2242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35045220
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0509640
—
OH
01
—
P00895016
MEDICARE RR
OH
Enumeration date
05/26/2006
Last updated
08/29/2018
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