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Individual

LEAH MARIE BORCHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
8309 PARKSIDE LN, WATERFORD, WI 53185-5607
(262) 662-0770
Mailing address
8309 PARKSIDE LN, WATERFORD, WI 53185-5607
(262) 662-0770

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4594-33
WI

Other

Enumeration date
09/21/2011
Last updated
11/24/2021
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