Individual
DR. JOHANNES DE RIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
1017 NEUBERRY CLIFFE, TEMPLE, TX 76502-5185
(806) 781-1295
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
549685
TX
Other
Enumeration date
04/15/2010
Last updated
12/01/2010
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