Individual
TIMOTHY B LESAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1516
(888) 720-2012
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41933
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33328300
—
WI
Enumeration date
08/23/2006
Last updated
07/10/2025
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