Individual
DR. THOMAS JOSEPH LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2763 MANITOWOC RD, SUITE B, GREEN BAY, WI 54311-6633
(920) 468-8288
(920) 468-9887
Mailing address
2763 MANITOWOC RD, SUITE B, GREEN BAY, WI 54311-6633
(920) 468-8288
(920) 468-9887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25884-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30658900
—
WI
Enumeration date
03/17/2006
Last updated
03/07/2023
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