Individual
DR. AMY K REISENAUER
Active
Individual
DR. AMY K REISENAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
MD-13436
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000255125
HMSA BILLING NUMBER
HI
05
—
572710-01
—
HI
Enumeration date
09/25/2006
Last updated
08/30/2019
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