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Leigh Mae Provencher, M.D. — NPI 1063949741, Appleton, WI | NPI Central

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NPI 1063949741

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Leigh Mae Provencher, M.D.

NPI 1063949741 · Critical Care Medicine (Internal Medicine) Physician · Appleton, WI

Provider details

NPI number: 1063949741
Entity type: Individual
Primary specialty: Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Female
Sole proprietor: No
License: 83019-20 (WI)

Specialties & taxonomies

Critical Care Medicine (Internal Medicine) PhysicianPrimary207RC0200XLicense 83019 (WI)
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000XLicense 83019-20 (WI)
Allopathic & Osteopathic Physicians

Practice location

1818 N Meade St

Appleton, WI 54911-3454

Phone: (920) 735-7645

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

3 Neenah Ctr

Neenah, WI 54956-3070

Additional practice locations (2)

Msc10 5550 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone: (505) 272-4661
Fax: (505) 272-4601
6550 Fannin, Houston Methodist Hospital
Sm 1001
Houston, TX 77030
Phone: (713) 441-5114
Fax: (713) 790-3023

Registry dates

Enumerated: 2017-05-12
Last updated: 2026-05-22
Certified: 2026-05-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.