Individual
DR. WENDY MARIE LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-3311
(608) 643-8600
Mailing address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-3311
(608) 643-8600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51254-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457538274
—
WI
Enumeration date
01/23/2008
Last updated
03/24/2021
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