Individual
BETTY ANN VAN LEUVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7000
Mailing address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
038-057481
IL
207P00000X
Emergency Medicine Physician
Primary
54963
WI
Other
Enumeration date
06/25/2006
Last updated
05/03/2016
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