Individual
CHARITY LEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 WILDWOOD DR, PLAIN, WI 53577-9644
(608) 546-9834
Mailing address
E8172 COUNTY ROAD C, NORTH FREEDOM, WI 53951-9752
(608) 963-7656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163496030
WI
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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