Leigh Mae Provencher, MD

CRITICAL CARE (INTENSIVISTS)

1818 N Meade St

Appleton, WI 549113454

(920) 735-7645

**NPI:** 1063949741

**Med School:** OTHER

**Experience:** 8 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

THEDACARE INCORPORATED

1818 N Meade St
Appleton, WI 549113454

Phone: (920) 735-7645

**Group ID:** 1759294887 | **Group Size:** 533 members

THEDACARE REGIONAL MED CTR - NEENAH Type: Hospital
130 2ND ST
Phone: (920) 729-3100
Medicare CCN: 520045 View Profile

THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC Type: Hospital
1818 N MEADE ST
Phone: (920) 731-4101
Medicare CCN: 520160 View Profile

Hospice Type: Hospice
Medicare CCN: 521504 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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