Individual
DR. BRIAN THOMAS LEITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
600 HIGHLAND AVENUE, MADISON, WI 53792-0001
(608) 261-1844
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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