Individual
WOLFGANG RIEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5111
(414) 805-2934
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5111
(414) 805-2934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6573
WI
363LP2300X
Primary Care Nurse Practitioner
6573
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841666344
—
WI
Enumeration date
08/19/2015
Last updated
05/20/2021
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