Leonas Pranas Sulas, MD | |
2817 New Pinery Road, Divine Savior Healthcare, Portage, WI 53901-0387 | |
(608) 745-5603 | |
(608) 742-6098 |
Full Name | Leonas Pranas Sulas |
---|---|
Gender | Male |
Speciality | Urology |
Location | 2817 New Pinery Road, Portage, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609815216 | NPI | - | NPPES |
60643 | Other | WI | DEAN HEALTH INSURANCE |
30689000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 27361020 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Leonas Pranas Sulas, MD 2817 New Pinery Road, Po Box 387, Divine Savior Healthcare, Portage, WI 53901-0387 Ph: (608) 745-5603 | Leonas Pranas Sulas, MD 2817 New Pinery Road, Divine Savior Healthcare, Portage, WI 53901-0387 Ph: (608) 745-5603 |
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