MR. Phil J Reisenauer, MT

NPI #1437427614 in Dickinson, North Dakota

Provider Information

NPI Number
1437427614
Entity Type
Individual
Name
MR. Phil J Reisenauer, MT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Health Worker
Credential
MT
Enumeration Date
Dec 2, 2011
Last Updated
Dec 2, 2011

Practice Location

Address
188 OSBORN DR
ZIP Code
58601-3960
Phone
(701) 225-3906

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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