Individual
RONALD REISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8050 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2478
(317) 415-8500
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01027146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100363330
—
IN
Enumeration date
09/13/2005
Last updated
02/23/2015
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