Individual
DR. LESLIE GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 S MILLS ST, MADISON, WI 53715-1849
(608) 258-6698
Mailing address
S64W19011 SCHOOL DR, MUSKEGO, WI 53150-8516
(608) 258-6699
(608) 259-5317
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32303
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084P0800X
TAXONOMY
WI
05
—
31771700
—
WI
Enumeration date
06/30/2006
Last updated
07/08/2007
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