Individual
NICOLE RIEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10288 77TH ST STE 300, PLEASANT PRAIRIE, WI 53158-1134
(262) 697-4222
Mailing address
10288 77TH ST STE 300, PLEASANT PRAIRIE, WI 53158-1134
(262) 697-4222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002123-15
WI
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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