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Individual

DR. MATTHEW RISENDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
70 MEDICAL CENTER CIR STE 208, FISHERSVILLE, VA 22939-2273
(540) 332-5926
(540) 332-5930
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0102207053
VA
208800000X
Urology Physician
132544
MT

Other

Enumeration date
03/30/2017
Last updated
07/15/2025
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