DR. Charles R Leadholm, M.D.

NPI #1194787846 in Burlington, Wisconsin

Provider Information

NPI Number
1194787846
Entity Type
Individual
Name
DR. Charles R Leadholm, M.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Emergency Medicine - Emergency Medical Services
Credential
M.D.
Enumeration Date
Apr 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
252 MCHENRY ST
ZIP Code
53105-1828
Phone
(262) 767-6100

Specialties & Taxonomy Codes

Specialty
Emergency Medicine - Emergency Medical ServicesEmergency Medical Services

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