Individual
DR. KYLE JONATHAN RIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1300 ANNE ST NW, MAIN PHARMACY ROUTE 10205, BEMIDJI, MN 56601-5103
(218) 333-5541
Mailing address
1300 ANNE ST NW, ROUTE 10205, BEMIDJI, MN 56601-5103
(218) 333-5541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118845
MN
Other
Enumeration date
03/29/2010
Last updated
08/16/2016
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