William J Riesen MD

NPI 1548377997 - Internal Medicine - 207R00000X

NPI Details
NPI 1548377997
Gender Male
Enumeration Date 08/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 4TH ST SW
SUITE IM
MASON CITY IA, 50401-2800, US
Phone (641) 422-6999
Fax (641) 422-6678
Business Location
621 S ILLINOIS AVE
SUITE 103
MASON CITY IA, 50401-5489, US
Phone (641) 494-3041
Fax (641) 494-3059
Toxanomy
Taxonomy Code 207R00000X
License State Iowa
License Number 31260
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According to our database, Dr. William J Riesen MD NPI is 1548377997, taxonomy code is 207R00000X and license number is 31260, license state is located at Iowa. William J Riesen MD physically located at 1000 4th St Sw, Mason City IA, 50401-2800. NPI Number William J Riesen MD has the Individual type.

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1548377997 NPI number is provided on an as is basis without warranty of any kind. 1548377997 is maintained by the National Plan & Provider Enumeration System. The contents of William J Riesen MD are for informational purposes only.