MARK LINUS LEITSCHUH

MEQUON, WI
NPI1336217066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: WI  31195)
Enumeration Date2006-12-01
Last Update Date2012-06-12
Business Address
-- MARK LINUS LEITSCHUH MD
13133 N PORT WASHINGTON RD SUITE 122
MEQUON, WI 53097-2419
Phone number: 262-243-3700
Mailing Address
-- MARK LINUS LEITSCHUH MD
4425 N PORT WASHINGTON RD ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 262-243-3700
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