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
- City
- Dickinson
- State
- North Dakota
- ZIP Code
- 58601-3960
- Phone
- (701) 225-3906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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