1407168842

Everything you always wanted to know about DR. LESLIE LOUISE MARTHA MD, FACP 1 MISS LESLIE LOUISE MARTHA MD, FACP but were afraid to ask.

DR. LESLIE LOUISE MARTHA MD, FACP 1 MISS LESLIE LOUISE MARTHA MD, FACP

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential Provider Other Name Type Code Provider Other Name Prefix Provider Other Last Name Provider Other Middle Name Provider Other First Name Provider Other Credential
DR. LESLIE LOUISE MARTHA MD, FACP 1 MISS LESLIE LOUISE MARTHA MD, FACP
Gender:
Female
Enumeration date:
2010-07-13
Last update date:
2010-07-13
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine WI 39586-020

Phone Numbers

Type Number
Mailing Address Telephone Number 01131704190141
Practice Location Address Telephone Number 01131704190141
Mailing Address Fax Number 01131704190141
Practice Location Address Fax Number 01131704190141

Addresses

Type Address City State Postal Country
Mailing Address HOFZICHTLAAN 10 non-numeric zip (2594CB) THE HAGUE NL 0 NL
Practice Location Address HOFZICHTLAAN 10 THE HAGUE NL 0 NL