Individual
DR. JASON D RIESINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3655
(815) 971-3333
(815) 968-0360
Mailing address
2400 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3655
(815) 971-3333
(815) 968-0360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54319
TN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036118261
IL
Other
Enumeration date
07/06/2007
Last updated
02/17/2022
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