Individual
EDWARD H RILEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38727
WI
207X00000X
Orthopaedic Surgery Physician
39402
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32382000
—
WI
Enumeration date
06/02/2005
Last updated
04/14/2015
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