Individual
DR. DOMINIC THEODORE GOMEZ LEONARDELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
(715) 359-6442
Mailing address
2924 NIGHT WATCH WAY, ALPINE, CA 91901-4115
(719) 671-9277
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207X00000X
Orthopaedic Surgery Physician
53408-20
WI
207X00000X
Orthopaedic Surgery Physician
55350
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
53408-20
WI
Other
Enumeration date
06/18/2008
Last updated
06/17/2024
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