Individual
JUSTIN M RISMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2140 JFK RD, SUITE F, DUBUQUE, IA 52002-3883
(563) 582-0769
(563) 582-5772
Mailing address
2140 JFK RD, SUITE F, DUBUQUE, IA 52002-3883
(563) 582-0769
(563) 582-5772
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41585
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201517
—
IA
Enumeration date
04/20/2010
Last updated
05/09/2014
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