MEDICARE: ANTHONY A RIEDER 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	207Y00000X	Otolaryngology Physician	ME43631	WI
2	207Y00000X	Otolaryngology Physician	64748	AZ

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	:	1710989090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY A RIEDER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 26071
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-0071
Country	:	US
Telephone Number	:	414-727-0910
Fax Number	:	414-727-9020

Provider Business Practice Location Address
First Line	:	2727 N MAYFAIR RD STE I
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53222-4400
Country	:	US
Telephone Number	:	414-727-0910
Fax Number	:	414-727-9020

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	01/29/2026

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Directions to “ ANTHONY A RIEDER M.D.” Practice Location

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