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Mr. Leslie P Liegel, PAC
Medical Physician Assistant in Madison, Wisconsin
NPI 1922084649

Leslie P Liegel is a Medical Physician Assistant based in Madison, WI and is specialized in Medical. Leslie P Liegel practices in Madison, WI and has the professional credentials of PAC. The NPI Number for Leslie P Liegel is 1922084649 and holds a License No. 819-23 (Wisconsin).

The current practice location address for Leslie P Liegel is 8814 Timber Wolf Trl, Madison, WI and can be reached out via phone at 608-827-8358. You can also correspond with Leslie P Liegel through the mailing address at 8814 TIMBER WOLF TRL, MADISON, WI - 53717-2721 (mailing address contact number: ).

Location: 8814 Timber Wolf Trl, Madison, WI, 53717-2721
person
Provider Profile Details
NPI Number
1922084649
Provider Name
Leslie P Liegel
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
8814 Timber Wolf Trl, Madison, WI, 53717-2721
Phone Number
608-827-8358
Fax Number
Provider Enumeration Date
12/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00144568 01 WI RAILROAD MEDICARE PROV #
70 01 WI DEANCARE PROV #
1009390 01 WI PHYS PLUS PROV #
42950700 05 WI
institution
Provider Business Practice Location Address Details
Address
8814 Timber Wolf Trl
City
State
Zip
53717-2721
Phone Number
608-827-8358
Fax Number
person
Provider Business Mailing Address Details
Address
8814 Timber Wolf Trl
City
State
Zip
53717-2721
Phone Number
608-827-8358
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
819-23 (Wisconsin)
Definition
Definition to come...
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