DAVID RIVEDAL

WAUWATOSA, WI
NPI1740643030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery Plastic and Reconstructive Surgery
(Licence: WI  68095)
Enumeration Date2016-04-04
Last Update Date2023-08-15
Business Address
DAVID RIVEDAL MD
1155 N MAYFAIR RD STE T2600
WAUWATOSA, WI 53226-3464
Phone number: 414-955-1000
Mailing Address
DAVID RIVEDAL MD
1155 N MAYFAIR RD STE T2600
WAUWATOSA, WI 53226-3464
Phone number: 414-955-1000
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