Organization
PRIMITIVO I. REYNALDO, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIMITIVO I REYNALDO M.D. (AUTHORIZED OFFICIAL)
(414) 302-9196
Entity
Organization
Contact information
Practice address
10200 W INNOVATION DR, SUITE 700, MILWAUKEE, WI 53226-4825
(414) 302-9196
Mailing address
10200 W INNOVATION DR, SUITE 700, MILWAUKEE, WI 53226-4825
(414) 302-9196
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
09/11/2025
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