Individual
CHARLES AUSTIN LEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601
(608) 392-7000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301095141
MI
207P00000X
Emergency Medicine Physician
Primary
65717
WI
Other
Enumeration date
07/28/2009
Last updated
06/01/2022
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