Todd Roger Riley
General Practice Physician
1 University Plz
Platteville
, Wisconsin 53818-3001
Todd Roger Riley
General Practice Physician
1 University Plz
Platteville
, Wisconsin 53818-3001
(608) 342-1028
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Todd Roger Riley
- 1 University Plz
- Platteville, WI
- Zip : 53818-3001
- Fax : (608) 342-1028
- Phone : (608) 342-1891
Second Address
- Todd Roger Riley
- 1 University Plz
- Platteville, WI
- Zip : 53818-3001
- Fax : (608) 342-1028
- Phone : (608) 342-1891
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 30756-020 | WI |
National Provider Identifier
| NPI | 1003039645 |
|---|---|
| Provider Name | Todd Roger Riley |
| First Address | Platteville, WI 53818-3001 |
| Second Address | Platteville, WI 53818-3001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G49298 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.