Individual
LEONARD E EGEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21049
SC
207R00000X
Internal Medicine Physician
Primary
66566
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740398601
—
WI
05
—
T52984
—
SC
Enumeration date
08/29/2006
Last updated
01/05/2017
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