Individual provider · Type 1 NPI

Leslie Ann Weiss Russo, PA-C

Physician Assistant · West Bend, WI

NPI number 1124540372 Active

Practice location

1700 W Paradise Dr
West Bend, WI 53095-9795

Call (262) 334-3451 Map

Mailing address

1700 W Paradise Drive
West Bend, WI 53095-9795

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124540372

Leslie Ann Weiss Russo, PA-C's National Provider Identifier is 1124540372, issued on Jul 10, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in West Bend, WI. The record was last updated on Apr 15, 2019.