Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Ledesma, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164746699

Mark Ledesma, MD is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2801 W Kinnickinnic River Pkwy Ste 250
Milwaukee, WI 53215-3669
Phone: (414) 649-6732
Fax: (414) 649-5840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 57355 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164746699
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2010
Last updated in NPPESMarch 11, 2013

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