Individual
LEAH TOPPEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4183
WI
363AM0700X
Medical Physician Assistant
085003533
IL
Other
Enumeration date
02/05/2010
Last updated
03/17/2018
Update your record
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