Weiss Russo, Leslie Ann

Weiss Russo, Leslie Ann is an individual health care provider with primary practice located at 1700 W Paradise Dr , West Bend WI 53095-9795. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Weiss Russo, Leslie Ann can be contacted via phone (262) 334-3451.

Contact Information

Primary practice address
1700 W Paradise Dr West Bend WI 53095-9795
Phone: (262) 334-3451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Wisconsin

Profile Details

NPI number 1124540372
LBN Legal business name Weiss Russo, Leslie Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2017
Last updated Apr 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers