Individual
MYA LEVERENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 BROUGHTON DR, SHEBOYGAN, WI 53081-4115
(920) 451-8000
Mailing address
812 BROUGHTON DR, SHEBOYGAN, WI 53081-4115
(920) 451-8000
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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