Ledesma, Wendy Marie

Ledesma, Wendy Marie is an individual health care provider with primary practice located at 260 26Th St , Prairie Du Sac WI 53578-2203. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ledesma, Wendy Marie can be contacted via phone (608) 643-3311.

Contact Information

Primary practice address
260 26Th St Prairie Du Sac WI 53578-2203
Phone: (608) 643-3311
Fax: (608) 643-8600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51254-20 Wisconsin

Profile Details

NPI number 1457538274
LBN Legal business name Ledesma, Wendy Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Mar 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457538274 NPPES
Wisconsin MEDICAID 1457538274

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