Individual
MR. TIMOTHY J REICHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN, NREMT-P
Contact information
Practice address
227 KLEINE ST, DEERFIELD, WI 53531-9596
(608) 977-1764
Mailing address
227 KLEINE ST, DEERFIELD, WI 53531-9596
(608) 977-1764
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
224169
WI
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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