REID A SOUSEK

APPLETON, WI
NPI1275501041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  48401)
Additional Taxonomies2083X0100X Preventive Medicine, Occupational Medicine
(Licence: WI  48401)
Enumeration Date2006-03-09
Last Update Date2012-12-12
Business Address
-- REID A SOUSEK MD
3329 N RICHMOND ST
APPLETON, WI 54911-1063
Phone number: 920-380-2720
Mailing Address
-- REID A SOUSEK MD
3329 N RICHMOND ST
APPLETON, WI 54911-1063
Phone number: 920-380-2720