Gomez Leonardelli, Dominic Theodore

Gomez Leonardelli, Dominic Theodore is an sole proprietor health care provider with primary practice located at 225000 Hummingbird Rd Ste 100 , Wausau WI 54401-2950. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Gomez Leonardelli, Dominic Theodore can be contacted via phone (715) 359-6442.

Contact Information

Primary practice address
225000 Hummingbird Rd Ste 100 Wausau WI 54401-2950
Phone: (715) 359-6442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 55350 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 53408-20 Wisconsin
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 53408-20 Wisconsin

Profile Details

NPI number 1992966493
LBN Legal business name Gomez Leonardelli, Dominic Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2008
Last updated Jun 17th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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