Individual
DR. PAUL VINCENT LETENDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R9529
IA
207RH0003X
Hematology & Oncology Physician
Primary
71187
WI
Other
Enumeration date
06/14/2012
Last updated
08/06/2019
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