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Individual

DR. DYLAN STEVEN LEDFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4590 COUNTY RD N, COTTAGE GROVE, WI 53527-9208
(608) 839-3104
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66688
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427443753
WI
Enumeration date
04/02/2015
Last updated
06/30/2023
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