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NPI Code Detail

MEDICARE: MR. ANTHONY ROBERT READER LMT

MEDICARE:  MR. ANTHONY ROBERT READER  LMT
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
1174400000XSpecialist3890-046WI

General Provider Information

NPI Number : 1316199557
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY ROBERT READER LMT
Provider Business Mailing Address
First Line : 3387 S KINNICKINNIC AVE
Second Line : APT D
City : MILWAUKEE
State : WI
Zip : 53207-3187
Country : US
Telephone Number : 414-721-6942
Fax Number :
Provider Business Practice Location Address
First Line : 10620 N PORT WASHINGTON RD
Second Line :
City : MEQUON
State : WI
Zip : 53092-5048
Country : US
Telephone Number : 414-721-6942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 12/08/2011

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Directions to “ MR. ANTHONY ROBERT READER LMT” Practice Location

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