MR. Douglas E Reichert, CP

NPI #1376549980 in Kenosha, Wisconsin

Provider Information

NPI Number: 1376549980
Entity Type: Individual
Name: MR. Douglas E Reichert, CP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: CP
Enumeration Date: Jun 28, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 5027 GREEN BAY RD
Address 2: STE 124
City: Kenosha
State: Wisconsin
ZIP Code: 53144-1771
Phone: (262) 654-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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