Individual
JOHN C LESNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC., HARTLAND, WI 53029-9317
(262) 928-7500
Mailing address
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC., HARTLAND, WI 53029-9317
(262) 928-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40186
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32480400
—
WI
Enumeration date
02/07/2006
Last updated
04/20/2012
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