Individual
DR. THOMAS CHRISTIAN LEECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
01071216A
IN
207R00000X
Internal Medicine Physician
Primary
65155
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201079700
—
IN
Enumeration date
08/14/2009
Last updated
08/10/2016
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