Susan Marie Moore-Riesbeck, D.O.

NPI #1215090378 in Elkhart, Indiana

Provider Information

NPI Number: 1215090378
Entity Type: Individual
Name: Susan Marie Moore-Riesbeck, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Dec 19, 2006
Last Updated: Oct 30, 2020

Practice Location

Address: 28070 COUNTY ROAD 24
City: Elkhart
State: Indiana
ZIP Code: 46517-9717
Phone: (574) 273-8053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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