Individual
RICHARD D EISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-3703
(320) 762-6040
(320) 762-6038
Mailing address
5775 WAYZATA BLVD, SUITE 400, ST LOUIS PARK, MN 55416-1222
(320) 762-6040
(320) 762-6038
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21290
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111010C561
UCARE OF MINNESOTA
MN
01
—
16-06657
MEDICA
MN
01
—
300049999
RAILROAD MEDICARE
MN
05
—
328598700
—
MN
01
—
411772562
GREATWEST HEALTHCARE
MN
01
—
595986
ARAZ/ AMERICA'S PPO
MN
01
—
60158EI
BLUE CROSS BLUE SHIELD
MN
01
—
965251000597
PREFERRED ONE
MN
01
—
HP38535
HEALTH PARTNERS
MN
Enumeration date
08/09/2005
Last updated
12/16/2011
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