Individual
TIFFANY RIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7225
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37081
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008857
—
KY
05
—
64047269
—
KY
Enumeration date
08/17/2006
Last updated
09/08/2023
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