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Individual

DOUGLAS J REDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3886
Mailing address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3886

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27490
WI
207RH0003X
Hematology & Oncology Physician
Primary
27490
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27490-20
WI STATE LICENSE
WI
Enumeration date
09/25/2006
Last updated
02/04/2016
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