Individual
DR. TERRY R REISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
427 N 12TH, PLUMMER, ID 83851-0388
(208) 686-1931
Mailing address
815 JEFFERSON ST, ALGOMA, WI 54201-1733
(920) 487-3496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43629
WI
Other
Enumeration date
09/12/2005
Last updated
04/05/2018
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