Individual
DR. MICHAEL VAN RIESBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2411 EXECUTIVE PLAZA RD, PENSACOLA, FL 32504-8269
(850) 476-0700
(850) 476-4300
Mailing address
2411 EXECUTIVE PLAZA RD, PENSACOLA, FL 32504-8269
(850) 476-0700
(850) 476-4300
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME 75687
FL
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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