NPI 1780260604

Leon Gu, MD

Practitioner Family Medicine Physician Deforest, WI

Practice location

Address: 4200 Savannah Dr, Deforest, WI 53532-2909
Phone: (608) 417-3300

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 84611-20 (WI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1780260604
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2021
Record last updated: 4 Sep 2024

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.