Individual
MR. DOUGLAS E REICHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
5027 GREEN BAY RD, STE 124, KENOSHA, WI 53144-1771
(262) 654-4300
(262) 654-4305
Mailing address
5027 GREEN BAY RD, STE 124, KENOSHA, WI 53144-1771
(262) 654-4300
(262) 654-4305
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
IL
Other
Enumeration date
06/28/2005
Last updated
07/08/2007
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