Individual
BRIAN G RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 N 28TH ST E, SUPERIOR, WI 54880-6548
(715) 395-3900
(715) 395-3936
Mailing address
109 N 28TH ST E, SUPERIOR, WI 54880-6548
(715) 395-3900
(715) 395-3936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55864
WI
Other
Enumeration date
07/24/2006
Last updated
05/08/2017
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