Leslie D Thornburg
THOMAS ERIC HERZOG INC


Address: W7164 Green Valley Rd, Spooner, WI 54801
Phone: 7156353127

Leslie D Thornburg (NPI# 1134101397, PAC ID# 5698809606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1134101397
PAC ID by PECOS 5698809606
Professional Enrollment ID I20100812000769
Full Name Leslie D Thornburg
Organization Legal Name THOMAS ERIC HERZOG INC
Address W7164 Green Valley Rd
Spooner
WI 54801
Phone Number 7156353127
Gender F
Medical School OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1975
Primary Specialty OPTOMETRY
Group Practice PAC ID 3072574813
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
W7164 Green Valley Rd, Spooner, WI 54801 7156353127 THOMAS ERIC HERZOG INC

Organization Information

Organization Legal Name THOMAS ERIC HERZOG INC
Physicians 1

Office Location

Street Address W7164 GREEN VALLEY RD
City SPOONER
State WI
Zip 54801

Physicians in the same zip code

Name Specialty Organization Address
Lyle L Lauritsen Chiropractic 214 Spruce St, Spooner, WI 54801-1149
Timothy John Wolter Family Practice The Duluth Clinic Ltd 707 Ash St, Spooner, WI 54801-1234
Ann E Marchetta Nurse Practitioner The Duluth Clinic Ltd 707 Ash St, Spooner, WI 54801-1234
Nathan K Eichhorst Optometry Spooner Eye Care Sc 130 Walnut St, Spooner, WI 54801-1319
Amy M Greenfield Physical Therapy Greenfield Physical Therapy and Sports Medicine, LLC 112 Ash St, Spooner, WI 54801-1487
Anna Lang Physical Therapy Greenfield Physical Therapy and Sports Medicine, LLC 112 Ash St, Spooner, WI 54801-1487
Paul E Niemuth Physical Therapy Greenfield Physical Therapy and Sports Medicine, LLC 112 Ash St, Spooner, WI 54801-1487
Aleisha J Janssen Physical Therapy Greenfield Physical Therapy and Sports Medicine, LLC 112 Ash St, Spooner, WI 54801-1487
Randy O Larson Chiropractic 410 N River St, Spooner, WI 54801-1495
Randy G Strickland Chiropractic 211 E Linn St, Spooner, WI 54801-1502
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Competitor

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City SPOONER
Zip Code 54801
Specialty OPTOMETRY
City + Specialty SPOONER + OPTOMETRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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