Individual
EDWARD R NEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7600
(262) 532-7602
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9560-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40440600
—
WI
Enumeration date
07/25/2006
Last updated
11/16/2009
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