Individual
MATTHEW RIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 HOSPITAL DR, LEXINGTON, NC 27292-6792
(336) 716-2255
Mailing address
DEPARTMENT OF EMERGENCY MEDICINE, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-4625
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2017-02228
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
08/22/2019
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