Individual
TIMOTHY REISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-2261
(515) 643-5802
Mailing address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-2261
(515) 643-5802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R10705
IA
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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