Individual
MS. MARY LOUISE RISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
501 COLUMBIA RD., STOP 9037, GRAND FORKS, ND 58202-9037
(701) 777-4243
Mailing address
2404 S 40TH ST, GRAND FORKS, ND 58201-5948
(701) 746-0375
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R18963
ND
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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