Kimberly A Ridl


Address: 940 Maritime Dr, Suite 4, Manitowoc, WI 54220-2960

Kimberly A Ridl (NPI# 1750304283, PAC ID# 7810210879) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1750304283
PAC ID by PECOS 7810210879
Professional Enrollment ID I20141223000952
Full Name Kimberly A Ridl
Address 940 Maritime Dr
Suite 4
Manitowoc
WI 54220-2960
Gender F
Graduation Year 1993
Primary Specialty GENERAL SURGERY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
940 Maritime Dr, Suite 4, Manitowoc, WI 54220-2960

Organization Information

Office Location

Street Address 940 MARITIME DR
SUITE 4
City MANITOWOC
State WI
Zip 54220-2960

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Competitor

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City MANITOWOC
Zip Code 54220
Specialty GENERAL SURGERY
City + Specialty MANITOWOC + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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