Healthcare Provider Details

I. General information

NPI: 1205823960
Provider Name (Legal Business Name): DEEANN D B REECE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S MADISON ST
APPLETON WI
54915-1846
US

IV. Provider business mailing address

1501 S MADISON ST
APPLETON WI
54915-1846
US

V. Phone/Fax

Practice location:
  • Phone: 920-730-4435
  • Fax:
Mailing address:
  • Phone: 920-730-4435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35173
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number35173
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: