Individual
MARC REISWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 748-4444
Mailing address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00035984
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8227795
—
WA
Enumeration date
06/24/2006
Last updated
12/19/2011
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