Individual
DR. LESLIE F. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1155 N MAYFAIR RD, MILWAUKEE, WI 53226-3421
(414) 805-3666
Mailing address
10000 W INNOVATION DR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
32944
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31883900
—
WI
Enumeration date
08/19/2006
Last updated
07/08/2007
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