MARK LEDESMA, MD

Family Medicine

Active Individual
NPI: 1164746699

Practice Address

2801 W KINNICKINNIC RIVER PKWY
SUITE 250
Milwaukee, WI 53215

Phone: (414) 649-6732

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Family Medicine 207Q00000X Yes 57355 (WI)

Frequently Asked Questions

NPI 1164746699 is the National Provider Identifier for MARK LEDESMA, MD, a Family Medicine provider located in Milwaukee, WI. This NPI was enumerated on March 26, 2010.
MARK LEDESMA, MD practices at 2801 W KINNICKINNIC RIVER PKWY, SUITE 250, Milwaukee, WI 53215.

Quick Facts

NPI
1164746699
Type
Individual
Enumerated
Mar 26, 2010
Last Updated
Mar 11, 2013

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