Individual
MR. MICHAEL JAMES LEDVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2764
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2764
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4263
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386956332
—
WI
Enumeration date
07/07/2010
Last updated
07/19/2024
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