NPI 1184794034

Jan Riecan, MD

Practitioner General Practice Physician Wauwatosa, WI

Practice location

Address: 2500 North Mayfair Road Suite 410, Wauwatosa, WI 53226-1409
Phone: (414) 774-1919

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 20319 (WI)

Other General Practice providers in Wisconsin →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 20319 (WI)

Other Surgery providers in Wisconsin →

Registry record

NPI: 1184794034
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2006
Record last updated: 11 Sep 2025

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.