Rivedal, David
Rivedal, David is an individual health care provider with primary practice located at 1155 N Mayfair Rd Ste T2600 , Wauwatosa WI 53226-3464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Rivedal, David can be contacted via phone (414) 955-1000.Contact Information
Primary practice address
1155 N Mayfair Rd Ste T2600
Wauwatosa WI 53226-3464
Phone: (414) 955-1000
Fax: (414) 955-0183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 68095 | Wisconsin |
Profile Details
| NPI number | 1740643030 |
|---|---|
| LBN Legal business name | Rivedal, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2016 |
| Last updated | Aug 15th, 2023 - about 3 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.
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