Individual
DR. BRENNAN MICHAEL LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2201 DIVISION ST # B, STEVENS POINT, WI 54481-3662
(715) 341-1644
Mailing address
151487 FERN LN, WAUSAU, WI 54401-5108
(208) 989-7994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002344
WI
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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