Individual
CONNIE L RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4855 S MOORLAND RD STE 250, NEW BERLIN, WI 53151-7494
(262) 789-6020
(262) 789-6025
Mailing address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 789-6020
(262) 789-6025
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33423
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31868900
—
WI
Enumeration date
09/20/2005
Last updated
07/21/2022
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