Individual
JOSEPH ROEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4448 W LOOMIS RD STE 300, GREENFIELD, WI 53220-4800
(414) 325-7246
(414) 325-3770
Mailing address
4131 W LOOMIS RD STE 300, GREENFIELD, WI 53221-2059
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
222707
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
68268-21
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
DO1620
NV
208VP0014X
Interventional Pain Medicine Physician
222707
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083035
—
MA
Enumeration date
09/21/2005
Last updated
03/17/2018
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