Most Relevant Information
Provider Data
NPI Number: | 1861495913 |
Provider Name: | ROBERT SUTTON LEA MD |
Entity Type: | Individual |
Taxonomy Code: | 207QA0401X |
Specialty: | Family Medicine |
License Number: | 24971 |
Most Important Dates
Enumeration Date: | 05/23/2005 |
Last Updated: | 07/21/2022 |
Provider Practice Location
24509 COUNTY HIGHWAY I
CHIPPEWA FALLS
WI
54729
Practice Location Phone/Fax
Phone: | 7157239138 |
Fax: | 7157238633 |
Provider Mailing Location
PO BOX 19070
GREEN BAY
WI
543079070
Provider Mailing Phone/Fax
Phone: | 9204964700 |
Fax: |