Individual
LAWRENCE J REIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E WISCONSIN AVE, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-114862
IL
2085R0202X
Diagnostic Radiology Physician
Primary
23852-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300108201
MEDICARE RAILROAD
WI
05
—
30682700
—
WI
Enumeration date
07/24/2006
Last updated
01/30/2009
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