Individual
MICHAEL LEASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5618 ODANA RD, MADISON, WI 53719-1208
(608) 274-1100
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
60552997
WA
207Q00000X
Family Medicine Physician
Primary
71558
WI
207VX0000X
Obstetrics Physician
MD60552997
WA
208D00000X
General Practice Physician
60552997
WA
Other
Enumeration date
04/30/2012
Last updated
01/21/2021
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