Individual
BRIAN RIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 OCONTO DR, SUN PRAIRIE, WI 53590-3050
(608) 843-3194
Mailing address
1630 OCONTO DR, SUN PRAIRIE, WI 53590-3050
(608) 843-3194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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