Individual
ROBERT D LEFSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1024 N MAIN ST, RICE LAKE, WI 54868-1236
(715) 234-8151
(715) 234-9750
Mailing address
1024 N MAIN ST, RICE LAKE, WI 54868-1236
(715) 234-8151
(715) 234-9750
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
38540
MN
2085R0202X
Diagnostic Radiology Physician
Primary
43958
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131314200
—
MN
05
—
32370800
—
WI
Enumeration date
01/09/2006
Last updated
10/18/2024
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