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Contact Information

LEIGHTON MARK, MD
9200 W WISCONSIN AVE
DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI53226-3522
 Phone: 414-805-3700
 Fax: 414-805-3777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for LEIGHTON MARK · (Male)

NPI # 1114970852
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 05/13/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 25648
  • WI Medicaid 1114970852
  • Other 002000124I HUMANA
  • Other 300041524 RAILROAD MEDICARE
Hospital affiliation(s)
  • COMMUNITY MEMORIAL HSPTL - (Acute Care)
    W180 N8085 TOWN HALL RD
    MENOMONEE FALLS, WI 53051
  • FROEDTERT MEMORIAL LUTHERAN HSPTL - (Acute Care)
    9200 W WISCONSIN AVE
    MILWAUKEE, WI 53226
  • ST JOSEPHS COM HSPTL WEST BEND - (Acute Care)
    3200 PLEASANT VALLEY ROAD
    WEST BEND, WI 53095
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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