Individual
DR. SHAWN LESLIE REISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1303 S LINDEN RD, COMMUNITY PODIATRY GROUP SUITE D, FLINT, MI 48532-3442
(215) 888-4358
(810) 230-8090
Mailing address
1303 S LINDEN RD, SUITE D, FLINT, MI 48532-3442
(215) 888-4358
(810) 230-8090
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
L918367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381898080
FEDERAL
MI
05
—
4899355
—
MI
Enumeration date
06/20/2006
Last updated
05/19/2010
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