Individual
JORGE ENRIQUE LEON COLONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8701 WATERTOWN PLANK RD, ATTN. CHAD LIPTOW, MS, MILWAUKEE, WI 53226-3548
(414) 805-8576
Mailing address
8701 WATERTOWN PLANK RD, ATTN. CHAD LIPTOW, MS, MILWAUKEE, WI 53226
(414) 805-8576
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
53189
WI
Other
Enumeration date
05/15/2007
Last updated
06/25/2010
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