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NPI Code Detail

MEDICARE: CYNTHIA C LEIGH MD

MEDICARE:   CYNTHIA C LEIGH  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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician28166WI

Other Identifiers

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

General Provider Information

NPI Number : 1942294517
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA C LEIGH MD
Provider Business Mailing Address
First Line : 700 N WESTHAVEN DR
Second Line :
City : OSHKOSH
State : WI
Zip : 54904-6947
Country : US
Telephone Number : 920-303-8700
Fax Number :
Provider Business Practice Location Address
First Line : 700 N WESTHAVEN DR
Second Line :
City : OSHKOSH
State : WI
Zip : 54904-6947
Country : US
Telephone Number : 920-303-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 01/09/2013

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