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Individual
JENNIFER M RISINGER
Active
Individual
JENNIFER M RISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21702
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00868710
MEDICARE RAILROAD
SC
05
—
T58112
—
SC
Enumeration date
03/14/2006
Last updated
04/05/2018
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