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Individual

RANDY D READLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-5270
(920) 832-4767
Mailing address
4525 N RAVENSWOOD AVE STE 201, CHICAGO, IL 60640-5201
(312) 857-8794
(708) 575-8311

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.147764
IL
2084P0800X
Psychiatry Physician
1160
WI
2084P0800X
Psychiatry Physician
Primary
93-00292
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036.147764
IL MEDICAL LICENSE
IL
01
1160
WI MEDICAL LICENSE
WI
01
93-00292
MEDICAL LICENSE NUMBER
NC
01
9300292
NC MEDICAL LICENSE
NC
Enumeration date
03/27/2006
Last updated
03/07/2023
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