MEDICARE: DR. SHARLEEN LEONARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	21759	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477660926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARLEEN LEONARD MD

Provider Business Mailing Address
First Line	:	901 E HAMPTON RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-5954
Country	:	US
Telephone Number	:	414-573-3267
Fax Number	:

Provider Business Practice Location Address
First Line	:	10340 WASHINGTON AVE
Second Line	:
City	:	STURTEVANT
State	:	WI
Zip	:	53177-1607
Country	:	US
Telephone Number	:	262-687-7500
Fax Number	:	262-687-7501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	03/07/2023

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