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Individual

DR. MICHAEL J RIESER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3050 RIO DOSA DR, LEXINGTON, KY 40509-1540
(859) 268-6410
(859) 268-6473
Mailing address
3050 RIO DOSA DR, LEXINGTON, KY 40509-1540
(859) 268-6410
(859) 268-6473

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2084P0800X
Psychiatry Physician
Primary
30676
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64306764
KY
Enumeration date
12/11/2006
Last updated
11/04/2014
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