Organization
DYSPHAGIA TESTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN JOAN RIEGG MD (OWNER)
(262) 442-2152
Entity
Organization
Contact information
Practice address
10638 HIDDEN CREEK DR, MEQUON, WI 53092-8538
(262) 442-2152
Mailing address
10638 HIDDEN CREEK DR, MEQUON, WI 53092-8538
(262) 442-2152
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33675-20
WI
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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