Individual
DR. BRADLEY CHRISTOPHER RIEMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(800) 767-4411
(262) 646-7067
Mailing address
3630 N HICKORY LN, OCONOMOWOC, WI 53066-4532
(800) 767-4411
(262) 646-7067
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1853
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39657300
—
WI
Enumeration date
08/17/2005
Last updated
07/08/2007
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