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NPI Code Detail

MEDICARE: RILEY WEIX

MEDICARE: RILEY WEIX
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
1133V00000XRegistered Dietitian6335-29WI

General Provider Information

NPI Number : 1063379212
Entity Type Code : Individual
Provider Name (Legal Business Name) : RILEY WEIX
Provider Business Mailing Address
First Line : 6862 BEAVER DAM RD
Second Line :
City : ALLENTON
State : WI
Zip : 53002-9763
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : W180N8085 TOWN HALL RD
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-3518
Country : US
Telephone Number : 262-257-3130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ RILEY WEIX ” Practice Location

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