Leslie Gray, MD | |
370 S Main St, Clintonville, WI 54929-1632 | |
(715) 823-5161 | |
(715) 823-1386 |
Full Name | Leslie Gray |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 370 S Main St, Clintonville, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851328033 | NPI | - | NPPES |
30356400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23065 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Leslie Gray, MD Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3298 | Leslie Gray, MD 370 S Main St, Clintonville, WI 54929-1632 Ph: (715) 823-5161 |
Cynthia Egan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 370 S Main St, Clintonville, WI 54929 Phone: 715-823-5161 | |
Ashley Thomas, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 370 S Main St, Clintonville, WI 54929 Phone: 715-823-5161 |