Individual
DR. LESLIE J RABAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2801 W KK RIVER PKWY STE 250, MILWAUKEE, WI 53215-3678
(414) 649-7909
Mailing address
2801 W KK RIVER PKWY STE 250, MILWAUKEE, WI 53215-3678
(414) 649-7909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70808-21
WI
Other
Enumeration date
03/23/2017
Last updated
05/14/2019
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