Individual
DR. THOMAS JOHN LEUTHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1792 E MASON ST, GREEN BAY, WI 54302-3251
(920) 468-1967
(920) 468-0405
Mailing address
1792 E MASON ST, GREEN BAY, WI 54302-3251
(920) 468-1967
(920) 468-0405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2252
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38885300
—
WI
Enumeration date
09/15/2005
Last updated
07/09/2010
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