IndividualActive
David Rivedal, MD
NPI 1740643030 · Plastic and Reconstructive Surgery Physician · Wauwatosa, WI
Provider details
- NPI number
- 1740643030
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 68095 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1155 N Mayfair Rd Ste T2600
Wauwatosa, WI 53226-3464
Phone: (414) 955-1000
Fax: (414) 955-0183
Approximate (ZIP-level) locationGet directions
Mailing address
1155 N Mayfair Rd Ste T2600
Wauwatosa, WI 53226-3464
Registry dates
- Enumerated
- 2016-04-04
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.