Individual
LEON GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 SAVANNAH DR, DEFOREST, WI 53532-2909
(608) 417-3300
Mailing address
4200 SAVANNAH DR, DEFOREST, WI 53532-2909
(608) 417-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84611-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
09/04/2024
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