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LEO J BRONSTON

Ambulatory Health Care Facilities Clinic/Center Health Service

Provider NPI: 1225573785

Organization Information:
Organization Name:  LEO J BRONSTON
Organization is not Subpart
Authorized Official:  LEO J BRONSTON  OWNER  608-781-2225

Practice Location:
1202 COUNTY ROAD PH SUITE 100 ONALASKA, WI 54650-8439 US
Tel: 608-781-2225  Fax: --

Business Mailing Address:
1202 COUNTY ROAD PH SUITE 100 ONALASKA, WI 54650-8439 US
Tel: --  Fax: --

NPI Information:
NPI: 1225573785
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QH0100XAmbulatory Health Care Facilities
Clinic/Center
Health Service

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QH0100X

Type:

Classification:



Definition:



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