Riess-Sagers, Kim R

Riess-Sagers, Kim R is an individual health care provider with primary practice located at 300 N Commercial St Suite 200, Neenah WI 54956-2619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Riess-Sagers, Kim R can be contacted via phone (920) 886-0818.

Contact Information

Primary practice address
300 N Commercial St Suite 200 Neenah WI 54956-2619
Fax: (920) 886-0773
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 32361 Wisconsin

Profile Details

NPI number 1235173121
LBN Legal business name Riess-Sagers, Kim R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235173121 NPPES
Wisconsin MEDICAID 21280500
Wisconsin MEDICAID 31720300

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