Individual
LESLIE A. MROCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
NORTH 9351 ADAMS ROAD, EAST TROY, WI 53120-0103
(262) 495-3676
Mailing address
PO BOX 103, EAST TROY, WI 53120-0103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39932700
—
WI
Enumeration date
07/10/2006
Last updated
07/08/2007
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