Individual
MR. MATTHEW J RIEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS CCCA
Contact information
Practice address
111 S MADISON ST, GREEN BAY, WI 54301-4501
(920) 432-7986
Mailing address
111 S MADISON ST, GREEN BAY, WI 54301-4501
(920) 432-7986
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41119400
—
WI
Enumeration date
04/10/2008
Last updated
04/10/2008
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