# MARK FREDERICK RIEDERER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225076359
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 13944824-1205 | UT | Yes |
| 207X00000X | Orthopaedic Surgery Physician | 4301083195 | MI | — |
| 208000000X | Pediatrics Physician | 4301083195 | MI | — |
| 208000000X | Pediatrics Physician | 43020 | TN | — |
| 2080S0010X | Pediatric Sports Medicine Physician | 4301083195 | MI | — |
| 2080S0012X | Pediatric Sleep Medicine Physician | MD462484 | PA | — |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 12/09/2025