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Organization

REISWIG AESTHETICS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMANDA REISWIG M.D. (OWNER/PHYSICIAN)
(414) 526-1291
Entity
Organization

Contact information

Practice address
1233 N MAYFAIR RD STE 208, WAUWATOSA, WI 53226-3255
(414) 526-1291
Mailing address
1233 N MAYFAIR RD STE 208, WAUWATOSA, WI 53226-3255
(414) 526-1291

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
52720-20
WI

Other

Enumeration date
01/24/2014
Last updated
04/03/2014
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