Individual
BRIAN REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 SHORE DR, MARINETTE, WI 54143-4242
(715) 735-4200
Mailing address
4109 PARK LN, MENOMINEE, MI 49858-1445
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47648
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104706109
—
MI
05
—
34614800
—
WI
Enumeration date
09/26/2006
Last updated
03/07/2023
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