Individual
DR. RICHARD EDGAR RIESELBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2711 ALLEN BLVD, MIDDLETON, WI 53562
(608) 827-2308
(608) 827-2344
Mailing address
2711 ALLEN BLVD., BSP CLINIC, MIDDLETON, WI 53562
(608) 827-2308
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
13589-20
WI
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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