Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHIL J REISENAUER, MT
Active Sole ProprietorMR. PHIL J REISENAUER, MT is a Community Health Worker healthcare provider located in DICKINSON, North Dakota. NPI 1437427614 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · DICKINSON, ND
Registration Details
- NPI Number
- 1437427614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2011 (14.655490767194 yrs)
- Last Updated
- Dec 2, 2011
- License
-
93 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
188 OSBORN DRDICKINSON, ND, 586013960Browse ND providers · Browse ZIP 58601
- Phone
- 7012253906
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.