Individual
NATHAN REDLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6420 N BITTERSWEET LN, GLENDALE, WI 53217-4107
(414) 581-0989
Mailing address
6420 N BITTERSWEET LN, GLENDALE, WI 53217-4107
(414) 581-0989
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1022898
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2020
Last updated
11/25/2025
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