Individual
CARLEY REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2121
(262) 741-2178
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83578-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290404
—
WI
Enumeration date
04/08/2022
Last updated
09/24/2025
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