Individual
JOHN E. RIDLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 W SIERRA LN, MEQUON, WI 53092-6037
(262) 241-4622
Mailing address
824 W SIERRA LN, MEQUON, WI 53092-6037
(262) 241-4622
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14702 - 020
WI
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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