SearchWisconsin1041C0700X

Leslie Heckman, MS

NPI 1861665002 · on the registry since 2008

Practice

Address
111 S Jefferson Street
Green Bay, WI 54301
Phone
(920) 448-6155
Fax
(920) 448-6177

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin