Individual
EDWARD J. REISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 324-6464
Mailing address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 324-6464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00024932
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD00024932
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035039
—
WA
Enumeration date
01/29/2007
Last updated
05/03/2021
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