Individual
MR. MICHAEL LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
818 WARSAW ST, MENASHA, WI 54952-2354
(920) 213-0315
Mailing address
818 WARSAW ST, MENASHA, WI 54952-2354
(920) 213-0315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308533
WI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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