NPI 1376549980

Douglas E Reichert, CP

Practitioner Prosthetist Kenosha, WI

Practice location

Address: 5027 Green Bay Rd STE 124, Kenosha, WI 53144-1771
Phone: (262) 654-4300
Fax: (262) 654-4305

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1376549980
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2005
Record last updated: 8 Jul 2007

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.