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Individual

TODD RALPH RIETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
205 VALLEY AVE, WEST BEND, WI 53095-5312
(262) 338-1123
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
669
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4321660
WI
Enumeration date
08/03/2006
Last updated
12/20/2021
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