Brian Riedel

NPI #1922546134 in Sun Prairie, Wisconsin

Provider Information

NPI Number: 1922546134
Entity Type: Individual
Name: Brian Riedel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 8, 2017
Last Updated: Feb 8, 2017

Practice Location

Address: 1630 OCONTO DR
City: Sun Prairie
State: Wisconsin
ZIP Code: 53590-3050
Phone: (608) 843-3194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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