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Dr. Leigh Mae Provencher, MD
Critical Care Medicine (Internal Medicine) Physician in Appleton, Wisconsin
NPI 1063949741

Leigh Mae Provencher is a Critical Care Medicine (Internal Medicine) Physician based in Neenah, WI and is specialized in Critical Care Medicine. Leigh Mae Provencher practices in Appleton, WI and has the professional credentials of MD. The NPI Number for Leigh Mae Provencher is 1063949741 and holds a License No. RS2020-0448 (Wisconsin).

The current practice location address for Leigh Mae Provencher is 1818 N Meade St, Appleton, WI and can be reached out via phone at 920-735-7645.

Location: 1818 N Meade St, Appleton, WI, 54956-3070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063949741
Provider Name
Leigh Mae Provencher
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1818 N Meade St, Appleton, WI, 54956-3070
Phone Number
920-735-7645
Fax Number
Provider Enumeration Date
05/12/2017
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
1818 N Meade St
City
Appleton
State
Wisconsin
Zip
54911-3454
Phone Number
920-735-7645
Fax Number
person
Provider Business Mailing Address Details
Address
1818 N Meade St
City
Appleton
State
Wisconsin
Zip
54911-3454
Phone Number
920-735-7645
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
()
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
RS2020-0448 (New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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