Individual
LEAH I METZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48530
WI
207RN0300X
Nephrology Physician
37212
IA
207RN0300X
Nephrology Physician
Primary
48530
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34803400
—
WI
Enumeration date
05/16/2006
Last updated
03/03/2011
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