Individual
KIM R RIESS-SAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 N COMMERCIAL ST, SUITE 200, NEENAH, WI 54956-2619
(920) 886-0818
(920) 886-0773
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 433-7864
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
32361
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21280500
—
WI
05
—
31720300
—
WI
Enumeration date
06/15/2006
Last updated
06/01/2022
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