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TEDMOND R O'REILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1475 W GRAND AVE, PORT WASHINGTON, WI 53074
(262) 268-5100
(262) 268-5115
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30480
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31556200
WI
01
P00750288
RR MEDICARE
WI
Enumeration date
08/23/2006
Last updated
02/11/2026
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