Individual
LESLIE QUANDT-WALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
3131 E THUNDERBIRD RD, SUITE 59, PHOENIX, AZ 85032-5600
(602) 787-0015
Mailing address
1109 E NORTHWOOD DR, APPLETON, WI 54911-1549
(480) 209-2138
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
3800
AZ
174M00000X
Veterinarian
Primary
5102-050
WI
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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