Individual
PETER F LEONOVICZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, ST MARYS HOSPITAL/DEAN MEDICAL CENTER, MADISON, WI 53715-1830
(608) 258-6975
(608) 258-5222
Mailing address
700 S PARK ST, ST MARYS HOSPITAL/DEAN MEDICAL CENTER, MADISON, WI 53715-1830
(608) 258-6975
(608) 258-5222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23130-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30495500
—
WI
01
—
437
DEAN HEALTH INSURANCE
WI
Enumeration date
05/10/2006
Last updated
05/09/2008
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