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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES R LEADHOLM, M.D.

Active

DR. CHARLES R LEADHOLM, M.D. is a Emergency Medical Services healthcare provider located in BURLINGTON, Wisconsin. NPI 1194787846 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Services · BURLINGTON, WI

Registration Details

NPI Number
1194787846
Provider Type
Individual
Gender
Male
NPI Issued
Apr 6, 2006 (20.379753340585 yrs)
Last Updated
Jul 8, 2007
License
20148 (WI)

Practice Information

Address
252 MCHENRY ST
BURLINGTON, WI, 531051828
Browse WI providers · Browse ZIP 53105
Phone
2627676100
Fax
2627676098
Primary Specialty
Emergency Medical Services
207PE0004X

Other Emergency Medical Services Providers in BURLINGTON, WI

Name Credential NPI
DR. JOHN W LINSTROTH M.D. 1265495527
DR. RICHARD F WAGNER M.D. 1073576336
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.