Healthcare Provider Details

I. General information

NPI: 1366369365
Provider Name (Legal Business Name): JOHN HUY LE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4927 W WOODLAND DR
FRANKLIN WI
53132-8016
US

IV. Provider business mailing address

4927 W WOODLAND DR
FRANKLIN WI
53132-8016
US

V. Phone/Fax

Practice location:
  • Phone: 414-306-3538
  • Fax:
Mailing address:
  • Phone: 414-306-3538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: