Individual
LEAH PLAISIER MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 W RAWSON AVE, FRANKLIN, WI 53132-9417
(414) 260-5544
Mailing address
1635 N WATER ST APT 424, MILWAUKEE, WI 53202-3661
(414) 731-7457
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
81997
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
09/14/2023
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