Riedy, Mark
Riedy, Mark is an individual health care provider with primary practice located at 2845 Greenbrier Rd Suite 210, Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Riedy, Mark can be contacted via phone (920) 288-8100.Contact Information
Primary practice address
2845 Greenbrier Rd Suite 210
Green Bay WI 54311-6519
Phone: (920) 288-8100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 22748 | South Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 54662 | Wisconsin |
Profile Details
| NPI number | 1780681445 |
|---|---|
| LBN Legal business name | Riedy, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Dec 3rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780681445 | NPPES |
| South Carolina | MEDICAID | 227481 | |
| South Carolina | Other | CM7718 | |
| South Carolina | Other | H503647762 | |
| South Carolina | MEDICAID | GP1062 | |
| South Carolina | Other | 02914 | |
| South Carolina | MEDICAID | 8902914 | |
| South Carolina | Other | GP3912 | |
| South Carolina | Other | GP4306 |
Popular Providers
-
Hanes, David C
2845 Greenbrier Rd Suite 120, Green Bay WI 54311-6519 -
Tafoya, Breion M
2845 Greenbrier Rd , Green Bay WI 54311-6519 -
Head, Wesley D
1240 Jesse Jewell Pkwy Se Suite 500, Gainesville GA 30501-3862 -
Yanashyan, Haik
744 S Webster Ave , Green Bay WI 54301-3505 -
Gammon, Kenneth L.
303 S Nappanee St , Elkhart IN 46514-2066 -
Diaban, Fatima Tahera
2845 Greenbrier Rd , Green Bay WI 54311-6519 -
Emmi, Ronald P.
261 Old York Rd Ste 214, Jenkintown PA 19046-3724 -
Koszuta, John Joseph
744 S Webster Ave , Green Bay WI 54301-3505