Individual
SUSANNE L RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 507, MILWAUKEE, WI 53215-3660
(414) 649-3780
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(822) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4995
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024982
—
WI
Enumeration date
09/07/2012
Last updated
12/10/2023
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