Individual
LESLEY A FUERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
370 S MAIN ST, CLINTONVILLE, WI 54929-1632
(715) 823-5161
(715) 823-1386
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4937
WI
363LF0000X
Family Nurse Practitioner
F0712543
WI
Other
Enumeration date
08/03/2012
Last updated
03/20/2013
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