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Dr. Charles R Leadholm, MD
Emergency Medical Services (Emergency Medicine) Physician in Burlington, Wisconsin
NPI 1194787846

Charles R Leadholm is a Emergency Medical Services (Emergency Medicine) Physician based in Oak Creek, WI and is specialized in Emergency Medical Services. Charles R Leadholm practices in Burlington, WI and has the professional credentials of MD. The NPI Number for Charles R Leadholm is 1194787846 and holds a License No. 20148 (Wisconsin).

The current practice location address for Charles R Leadholm is 252 Mchenry St, Burlington, WI and can be reached out via phone at 262-767-6100 and via fax at 262-767-6098.

Location: 252 Mchenry St, Burlington, WI, 53154-1466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194787846
Provider Name
Charles R Leadholm
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
252 Mchenry St, Burlington, WI, 53154-1466
Phone Number
262-767-6100
Fax Number
262-767-6098
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30775700 05 WI
institution
Provider Business Practice Location Address Details
Address
252 Mchenry St
City
Burlington
State
Wisconsin
Zip
53105-1828
Phone Number
262-767-6100
Fax Number
262-767-6098
person
Provider Business Mailing Address Details
Address
252 Mchenry St
City
Burlington
State
Wisconsin
Zip
53105-1828
Phone Number
262-767-6100
Fax Number
262-767-6098
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
20148 (Wisconsin)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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