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Individual

DR. AMANDA COURTNEY REISWIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1233 N MAYFAIR RD STE 208, MILWAUKEE, WI 53226-3255
(414) 526-1291
Mailing address
1233 N MAYFAIR RD STE 208, MILWAUKEE, WI 53226-3255
(414) 526-1291

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
52720-20
WI

Other

Enumeration date
03/28/2008
Last updated
04/03/2014
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