Individual
JOEL SPENCER LEDVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 E BLUFF ST, BOSCOBEL, WI 53805-1610
(608) 375-4549
Mailing address
464 W 5TH ST, RICHLAND CENTER, WI 53581-1632
(920) 676-8384
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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