Individual
ROBERT A REISWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
981 SOUTH MARKET BLVD, CHEHALIS, WA 98532-0230
(360) 748-4991
(360) 748-7778
Mailing address
PO BOX 1201, 981 SOUTH MARKET BLVD, CHEHALIS, WA 98532-0230
(360) 748-4991
(360) 748-7778
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00013993
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076572
L & I
WA
05
—
1016104
—
WA
Enumeration date
12/01/2006
Last updated
03/07/2023
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