Judith M Riesch, PA

NPI #1063472488 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1063472488
Entity Type: Individual
Name: Judith M Riesch, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 28, 2006
Last Updated: Oct 16, 2019

Practice Location

Address: 601 N 99 ST
Address 2: SUITE 201
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226
Phone: (414) 266-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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