Individual
DR. GARY MICHAEL REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE S-450, MARRERO, LA 70072
(504) 349-6401
(504) 349-6444
Mailing address
P.O. BOX 1520, MARRERO, LA 70073
(504) 349-6423
(504) 349-6062
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD.200117
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215040
—
LA
Enumeration date
06/13/2007
Last updated
08/12/2014
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