Provider Demographics
NPI:1659752285
Name:BAY, LEO E (DO)
Entity Type:Individual
Prefix:
First Name:LEO
Middle Name:E
Last Name:BAY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:ESSENTIA HEALTH ASHLAND CLINIC
Mailing Address - Street 2:1615 MAPLE LANE, STE 1
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-3610
Mailing Address - Country:US
Mailing Address - Phone:715-685-7500
Mailing Address - Fax:
Practice Address - Street 1:1615 MAPLE LN STE 1
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-3630
Practice Address - Country:US
Practice Address - Phone:715-685-7500
Practice Address - Fax:715-682-2481
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2021-12-10
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Provider Licenses
StateLicense IDTaxonomies
WAOP60849062207Q00000X
IL125067524207Q00000X
MN64415207Q00000X
WI69013-21207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine