Individual
MICHAEL KALISVAART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 788-5216
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
15233
NV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
15233
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194989012
—
NV
01
—
12703525
CAQH
—
Enumeration date
07/10/2008
Last updated
12/22/2021
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