Individual
MELANIE LEISTIKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4873 BAXTER ROAD, COTTAGE GROVE, WI 53527-9676
(608) 577-3814
Mailing address
4873 BAXTER ROAD, COTTAGE GROVE, WI 53527-9676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WI
Other
Enumeration date
06/01/2018
Last updated
08/04/2025
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