Jennie A Leach, MD | |
240 Maple St, Woodruff, WI 54568-0470 | |
(715) 356-8000 | |
Not Available |
Full Name | Jennie A Leach |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 240 Maple St, Woodruff, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598795023 | NPI | - | NPPES |
34014300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 41726-020 (Wisconsin) | Primary |
208600000X | Surgery | 41726-020 (Wisconsin) | Secondary |
Entity Name | Vohra Wound Physicians Of The Mid-west, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720536477 PECOS PAC ID: 9739467309 Enrollment ID: O20161102001017 |
Mailing Address | Practice Location Address |
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Jennie A Leach, MD 240 Maple St, Po Box 470, Woodruff, WI 54568-0470 Ph: (715) 356-8000 | Jennie A Leach, MD 240 Maple St, Woodruff, WI 54568-0470 Ph: (715) 356-8000 |
Cali Holan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Maple St, Woodruff, WI 54568 Phone: 715-356-8920 | |
Dr. Molly Kathryn Pilarski, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 240 Maple St, Woodruff, WI 54568 Phone: 715-356-8000 | |
Frederick Knoch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 Maple St, Woodruff, WI 54568 Phone: 715-356-8920 | |
James Mark Richards, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Maple St, Woodruff, WI 54568 Phone: 715-356-8920 | |
Heath J Meyer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Maple St, Woodruff, WI 54568 Phone: 715-356-8920 | |
Maria Tillman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Maple St, Woodruff, WI 54568 Phone: 715-356-8000 |