Matthew K Riedesel M.D.

NPI 1083603732 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1083603732
Gender Male
Enumeration Date 10/17/2005
Last Updated 10/22/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
5955 ZEAMER AVENUE
673D MDG
JBER AK, 99506-3700, US
Phone (907) 580-1800
Fax
Business Location
5955 ZEAMER AVENUE
673D MDG
JBER AK, 99506-3700, US
Phone (907) 580-1800
Fax
Toxanomy
Taxonomy Code 207X00000X
License State New York
License Number 2152381
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According to our database, Dr. Matthew K Riedesel M.D. NPI is 1083603732, taxonomy code is 207X00000X and license number is 2152381, license state is located at New York. Matthew K Riedesel M.D. physically located at 5955 Zeamer Avenue, Jber AK, 99506-3700. NPI Number Matthew K Riedesel M.D. has the Individual type.

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1083603732 NPI number is provided on an as is basis without warranty of any kind. 1083603732 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew K Riedesel M.D. are for informational purposes only.