Individual
MICHAEL LEITERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2826
Mailing address
2080 WINDSOR CT APT 2, PLOVER, WI 54467-4153
(715) 304-9182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12080-24
WI
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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