Individual
LESLIE ANN STASIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(262) 219-7084
Mailing address
16721 W MARY ROSS DR, NEW BERLIN, WI 53151-6559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6611
WI
Other
Enumeration date
09/01/2015
Last updated
06/26/2020
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