Provider Demographics
NPI:1912571662
Name:LEON, JOSEPH M (DO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:LEON
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3 NEENAH CTR
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-3070
Mailing Address - Country:US
Mailing Address - Phone:920-830-5900
Mailing Address - Fax:920-830-5910
Practice Address - Street 1:601 GROVE AVE
Practice Address - Street 2:
Practice Address - City:WILD ROSE
Practice Address - State:WI
Practice Address - Zip Code:54984-6903
Practice Address - Country:US
Practice Address - Phone:920-622-3257
Practice Address - Fax:920-622-6021
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2024-08-20
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Provider Licenses
StateLicense IDTaxonomies
WI81559207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine