PAYTON LIEGEL

PORTAGE, WI
NPI1851012769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  13107-33)
Enumeration Date2022-09-08
Last Update Date2022-09-08
Business Address
PAYTON LIEGEL
2817 NEW PINERY RD
PORTAGE, WI 53901-9240
Phone number: 608-742-4131
Mailing Address
PAYTON LIEGEL
2817 NEW PINERY RD
PORTAGE, WI 53901-9240
Phone number: 608-742-4131
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