Organization
ALLIANCE ENT & HEARING CENTER, S.C.
Active
Parent organization
ALLIANCE ENT & HEARING CENTER, S.C.
Other names
Winner's Edge Performance Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE ENT & HEARING CENTER, S.C.
Authorized official
DR. ANTHONY A RIEDER MD (PRESIDENT)
(414) 727-0910
Entity
Organization
Contact information
Practice address
1251 E WISCONSIN AVE, PEWAUKEE, WI 53072-3755
(262) 696-9096
Mailing address
201 N MAYFAIR RD STE 515, WAUWATOSA, WI 53226-4216
(414) 727-0910
(414) 727-0920
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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