Individual
MRS. HEATHER RIESSLAND ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
2617 DEVELOPMENT DR, GREEN BAY, WI 54311-4240
(920) 336-8197
(920) 336-8801
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7262-23
WI
Other
Enumeration date
10/31/2005
Last updated
07/27/2023
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