Individual
MATTHEW C RIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1132 HAGER ST, SAINT MARYS, OH 45885-2423
(419) 394-5851
(419) 394-0702
Mailing address
1132 HAGER ST, #600, SAINT MARYS, OH 45885-2423
(419) 394-5851
(419) 394-0702
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35. 099958
OH
Other
Enumeration date
08/17/2007
Last updated
03/01/2013
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