MEDICARE: YOLANDA C REESE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	39595	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598759599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA C REESE M.D.

Provider Business Mailing Address
First Line	:	9000 W WISCONSIN AVE
Second Line	:	MS 8000
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-4874
Country	:	US
Telephone Number	:	414-266-7615
Fax Number	:	414-266-3803

Provider Business Practice Location Address
First Line	:	7720 W. GOOD HOPE RD.
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223
Country	:	US
Telephone Number	:	414-536-0236
Fax Number	:	414-536-0260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	12/23/2008

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