NPI 1114234580

Leo Matthew Pedretti

Practitioner Medical Physician Assistant Onalaska, WI

Practice location

Address: 3111 Gundersen Dr, Onalaska, WI 54650-8447
Phone: (608) 775-8100
Mailing address: 1836 South Ave, La Crosse, WI 54601-5429

Registered specialties (3)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 3463 (WI)

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1481 (MN)

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10847 (MN)

Registry record

NPI: 1114234580
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2010
Record last updated: 25 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.