Individual
MR. MICHAEL PATRICK REISING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3424 TRIO LN, SACRAMENTO, CA 95817-2071
(916) 747-4825
Mailing address
3424 TRIO LN, SACRAMENTO, CA 95817-2071
(916) 747-4825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA-16318
CA
363AS0400X
Surgical Physician Assistant
Primary
PA9103129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292180400
—
FL
01
—
P00242516
RAILROAD MEDICARE
FL
Enumeration date
04/06/2006
Last updated
02/22/2015
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