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DR. ROBERT SUTTON LEA MD

Addiction Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1861495913

Individual Registrant:
DR. ROBERT SUTTON LEA MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
24509 COUNTY HIGHWAY I  CHIPPEWA FALLS, WI 54729 US
Tel: 715-723-9138  Fax: 715-723-8633

Contact information for business:
PO BOX 19070  GREEN BAY, WI 54307-9070 US
Tel: (92-0) -496-4700  Fax: --

Registration Information:
NPI: 1861495913
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207QA0401XAllopathic & Osteopathic Physicians
Family Medicine
Addiction Medicine
WI24971
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
WI24971

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
GREATER MARSFIELD PLAN1020WI01
ATRIUM SENIOR PLAN4F991LEWI01
MEDICA01-19481WI01
30499400WI05
TRAVELERS RAILROAD3080003725WI01
MA GROUP HEALTHB54489WI01
ADVOCARE0001WI01
BLUE CROSS MINNESOTA4F991LEWI01
GROUP HEALTHB54489WI01
EMPLOYERS HEALTH391435797WI01
ATRIUM4F991LEWI01
CHAMPUSW005284WI01
WISCONSIN RISK30499400WI01
PREFERRED ONE301025868WI01
CCN301813WI01




HEALTH CARE JOBS WI - Page 1



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