Individual
DR. FRED D RISSER
Active
Individual
DR. FRED D RISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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