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Ms. Mary Margaret Leising, OTR
Specialist in Portage, Wisconsin
NPI 1740475318

Mary Margaret Leising is a Specialist based in Portage, WI. Mary Margaret Leising practices in Portage, WI and has the professional credentials of OTR. The NPI Number for Mary Margaret Leising is 1740475318 and holds a License No. 3711-026 (Wisconsin).

The current practice location address for Mary Margaret Leising is 2817 New Pinery Rd, Portage, WI and can be reached out via phone at 608-745-5063.

Location: 2817 New Pinery Rd, Portage, WI, 53901-9257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740475318
Provider Name
Mary Margaret Leising
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
2817 New Pinery Rd, Portage, WI, 53901-9257
Phone Number
608-745-5063
Fax Number
Provider Enumeration Date
09/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3711-026 01 WI ST OF WI LICENSING
institution
Provider Business Practice Location Address Details
Address
2817 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9257
Phone Number
608-745-5063
Fax Number
person
Provider Business Mailing Address Details
Address
2817 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9257
Phone Number
608-745-5063
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3711-026 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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