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Individual
DR. CHARLES LEDUC
Active
Individual
DR. CHARLES LEDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
273255-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58804
MINNESOTA STATE MEDICAL LICENSE
MN
Enumeration date
11/07/2014
Last updated
06/08/2015
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