Individual
DR. FRED D RISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 947-0366
Mailing address
44 SILVER RDG, VEAZIE, ME 04401-7084
(207) 947-0366
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
014652
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234980099
—
ME
01
—
260047956
RAILROAD MEDICARE
ME
Enumeration date
03/12/2007
Last updated
11/03/2009
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