Individual
PHILIP J. LEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 DELHI ST, STE 100, DUBUQUE, IA 52001-6320
(563) 557-9111
(563) 589-4046
Mailing address
1515 DELHI ST, STE 100, DUBUQUE, IA 52001-6320
(563) 557-9111
(563) 589-4046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22656
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055004
—
IA
05
—
31475700
—
WI
Enumeration date
02/23/2006
Last updated
10/18/2007
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