Individual
JOHN JOSEPH RIEDEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 651-8100
Mailing address
PO BOX 171, WILKESBORO, NC 28697-0171
(336) 416-5935
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
085705
NC
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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