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Individual

DIANE M. REISINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2019 GALISTEO ST STE N9B, SANTA FE, NM 87505
(505) 980-8738
(505) 404-8423
Mailing address
PO BOX 604, PLACITAS, NM 87043-0604

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD2011-0829
NM

Other

Enumeration date
12/08/2006
Last updated
04/04/2019
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