Individual
ROBERT V RIDENOUR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3902 OAKWOOD HILLS PKWY STE 2, EAU CLAIRE, WI 54701-7781
(715) 858-3260
Mailing address
1235 MENOMONIE ST STE B, EAU CLAIRE, WI 54703-5974
(715) 832-6445
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
48745
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
52975
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
572675000
—
MN
Enumeration date
07/22/2006
Last updated
04/26/2025
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