Individual
MRS. ALYSSA M RICCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7525 242ND AVE, SALEM, WI 53168-9483
(262) 316-7103
(262) 316-7123
Mailing address
7525 242ND AVE, SALEM, WI 53168-9483
(262) 316-7103
(262) 316-7123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2769-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016108
—
WI
Enumeration date
06/26/2011
Last updated
05/28/2026
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