Individual
DR. STEPHEN D REISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 1ST ST S, LADYSMITH, WI 54848-1801
(715) 532-5606
(715) 532-9675
Mailing address
120 1ST ST S, LADYSMITH, WI 54848-1801
(715) 532-5606
(715) 532-9675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0006377
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33489100
—
WI
Enumeration date
01/25/2013
Last updated
01/25/2013
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