Individual
LEON B MCNEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01061165A
IN
2085R0001X
Radiation Oncology Physician
Primary
51593
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000479537
ANTHEM PIN # / ARNETT
IN
01
—
000000491798
ANTHEM PIN # / OIGL
IN
01
—
11537108
CAQH NUMBER
IN
05
—
200822990
—
IN
05
—
35131700
—
WI
01
—
APPLYING
PHCS PID NUMBER
IN
Enumeration date
06/16/2006
Last updated
11/17/2022
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