Individual
ELLEN M LEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7878 N 76TH STREET, MILWAUKEE, WI 53223
(414) 354-6434
(414) 586-5745
Mailing address
3003 W GOOD HOPE ROAD, MILWAUKEE, WI 53209
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34538
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32043900
—
WI
01
—
P00799996
RAILROAD MEDICARE
WI
Enumeration date
07/05/2006
Last updated
12/27/2010
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