Individual
DR. LEAH W MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
5471 W WATERFORD LN STE B, APPLETON, WI 54913-8510
(920) 731-7445
Mailing address
5337 W GRANDE MARKET DR, APPLETON, WI 54913-8442
(920) 731-7445
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
5101015980
MI
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
53813-21
WI
Other
Enumeration date
08/21/2007
Last updated
05/01/2019
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