Individual
LESLIE E BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8945
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37656-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447296876
—
WI
Enumeration date
06/22/2006
Last updated
11/03/2020
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