Organization
MICHAEL V RIESBERG MD OTOLARYNGOLOGY & PERFORMING ARTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL V RIESBER MD (PRESIDENT)
(850) 476-0700
Entity
Organization
Contact information
Practice address
4900 N. DAVIS HIGHWAY, PENSACOLA, FL 32503-2344
(850) 476-0700
(850) 476-4300
Mailing address
PO BOX 1759, DEPARTMENT 952, HOUSTON, TX 77251-1759
(713) 554-5304
(713) 554-5324
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44913
BCBS
FL
Enumeration date
12/11/2008
Last updated
01/22/2009
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