Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD EDGAR RIESELBACH, M.D.
ActiveDR. RICHARD EDGAR RIESELBACH, M.D. is a Adolescent Medicine healthcare provider located in MIDDLETON, Wisconsin. NPI 1184155194 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · MIDDLETON, WI
Registration Details
- NPI Number
- 1184155194
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2017 (9.4078104993787 yrs)
- Last Updated
- Mar 22, 2017
- License
-
13589-20 (WI)
Practice Information
- Address
-
2711 ALLEN BLVDMIDDLETON, WI, 53562Browse WI providers · Browse ZIP 53562
- Phone
- 6088272308
- Fax
- 6088272344
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.