Provider Demographics
NPI:1881626273
Name:LEDUC, MARK M (DO)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:M
Last Name:LEDUC
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:621 S ILLINOIS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-5489
Mailing Address - Country:US
Mailing Address - Phone:641-428-3041
Mailing Address - Fax:
Practice Address - Street 1:1010 4TH ST SW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2857
Practice Address - Country:US
Practice Address - Phone:641-428-5100
Practice Address - Fax:641-428-5115
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2022-09-26
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Provider Licenses
StateLicense IDTaxonomies
IA3708207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology