| Leslie Gray, MD | |
|
370 S Main St, Clintonville, WI 54929-1632 | |
| (715) 823-5161 | |
| (715) 823-1386 |
| Full Name | Leslie Gray |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 370 S Main St, Clintonville, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851328033 | NPI | - | NPPES |
| 30356400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23065 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Gray, MD Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3298 | Leslie Gray, MD 370 S Main St, Clintonville, WI 54929-1632 Ph: (715) 823-5161 |
Cynthia Egan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 370 S Main St, Clintonville, WI 54929 Phone: 715-823-5161 | |
Ashley Thomas, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 370 S Main St, Clintonville, WI 54929 Phone: 715-823-5161 |