Individual
PAUL JOSEPH RIESENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6750 E BAYWOOD AVE, STE 503, MESA, AZ 85206-1749
(480) 543-3030
(480) 543-3031
Mailing address
6750 E BAYWOOD AVE, STE 503, MESA, AZ 85206-1749
(480) 543-3030
(480) 543-3031
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
52998
AZ
2086S0129X
Vascular Surgery Physician
64257
GA
Other
Enumeration date
04/25/2007
Last updated
04/08/2017
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