Individual
DR. JEFFREY K REICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 N MAYFAIR RD, STE 505, WAUWATOSA, WI 53226-4216
(414) 258-7799
(414) 258-9021
Mailing address
201 N MAYFAIR RD, STE 505, WAUWATOSA, WI 53226-4216
(414) 258-7799
(414) 258-9021
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
32501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30058000
—
WI
Enumeration date
06/14/2005
Last updated
08/22/2011
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