Individual
MR. HARVEY D REISENWEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MARCLEY DR, MARTINSBURG, WV 25401-2977
(304) 263-8911
(304) 263-9098
Mailing address
101 MARCLEY DR, MARTINSBURG, WV 25401-2977
(304) 263-8911
(304) 263-9098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09223
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080020707
RAILROAD INDIV. #
WV
01
—
9930421
MEDICARE GROUP NUMBER
WV
01
—
C10269
RAILROAD GROUP
WV
Enumeration date
06/08/2006
Last updated
05/14/2010
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