Individual provider · Type 1 NPI
Charles R. Leadholm, MD
Emergency Medical Services (Emergency Medicine) Physician · Burlington, WI
Practice location
252 Mchenry St
Burlington, WI 53105-1828
Fax (262) 767-6098
Mailing address
7071 S 13th St, Ste 104
Oak Creek, WI 53154-1466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | 20148 (WI) |
Emergency Medical Services (Emergency Medicine) Physician: 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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About NPI 1194787846
Charles R. Leadholm, MD's National Provider Identifier is 1194787846, issued on Apr 6, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Burlington, WI. The record was last updated on Jul 13, 2026.