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Individual

PETER LEONHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5249 E TERRACE DR, MADISON, WI 53718-8339
(608) 222-9777
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1941
(608) 251-4156
(608) 257-3842

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1625
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38767800
WI
Enumeration date
07/18/2006
Last updated
09/25/2012
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