NPI 1144492273

Amanda Courtney Reiswig, MD

Practitioner General Practice Physician Milwaukee, WI

Practice location

Address: 1233 N Mayfair Rd STE 208, Milwaukee, WI 53226-3255
Phone: (414) 526-1291

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 52720-20 (WI)

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Registry record

NPI: 1144492273
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2008
Record last updated: 3 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.