Individual
THERESA M RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10900 W POTTER RD, WAUWATOSA, WI 53226-3424
(262) 787-6737
(262) 782-6040
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(262) 787-6737
(262) 782-6040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25406
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34115300
—
WI
Enumeration date
06/08/2006
Last updated
09/24/2015
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