Robert D Reisenberg, PA

NPI #1447262456 in Medford, Wisconsin

Provider Information

NPI Number: 1447262456
Entity Type: Individual
Name: Robert D Reisenberg, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 12, 2006
Last Updated: May 14, 2012

Practice Location

Address: 143 S GIBSON ST
City: Medford
State: Wisconsin
ZIP Code: 54451-1622
Phone: (715) 748-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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