Search › Wisconsin › 106H00000X
Leah Bastian
NPI 1972161628 · on the registry since 2019
Practice
- Address
- 2935 S Fish Hatchery Rd # 244
Madison, WI 53711 - Phone
- (608) 352-9048
Additional practice sites
- 4800 Ivywood Trl, Mc Farland, WI
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin