Individual
DR. JAN RIECAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NORTH MAYFAIR ROAD, SUITE 410, WAUWATOSA, WI 53226-1409
(414) 774-1919
Mailing address
2500 NORTH MAYFAIR ROAD, SUITE 410, WAUWATOSA, WI 53226-1409
(414) 774-1919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
20319
WI
208D00000X
General Practice Physician
Primary
20319
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30211200
—
WI
Enumeration date
11/08/2006
Last updated
09/11/2025
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