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Individual

LEO E BAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1615 MAPLE LN STE 1, ASHLAND, WI 54806-3630
(715) 685-7500
(715) 682-2481
Mailing address
ESSENTIA HEALTH ASHLAND CLINIC, 1615 MAPLE LANE, STE 1, ASHLAND, WI 54806-3610
(715) 685-7500

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125067524
IL
207Q00000X
Family Medicine Physician
64415
MN
207Q00000X
Family Medicine Physician
Primary
69013-21
WI
207Q00000X
Family Medicine Physician
OP60849062
WA

Other

Enumeration date
06/09/2015
Last updated
12/10/2021
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