Individual provider · Type 1 NPI

Leo Matthew Pedretti

Medical Physician Assistant · Onalaska, WI

NPI number 1114234580 Active

Practice location

3111 Gundersen Dr
Onalaska, WI 54650-8447

Mailing address

1836 South Ave
La Crosse, WI 54601-5429

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1481 (MN)
Physician Assistant 363A00000X10847 (MN)
Medical Physician Assistant Primary 363AM0700X3463 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1114234580

Leo Matthew Pedretti's National Provider Identifier is 1114234580, issued on Sep 8, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Onalaska, WI. The record was last updated on Feb 25, 2015.