Individual
ROBERT ALLEN REISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19758 DAYTON HOLLOW LN, FERGUS FALLS, MN 56537-7621
(218) 340-1359
(218) 737-0028
Mailing address
19758 DAYTON HOLLOW LN, FERGUS FALLS, MN 56537-7621
(218) 340-1359
(218) 737-0028
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
APPLIED
MN
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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