NPI 1013401686

Grant Michael Riesberg, MD

Practitioner Diagnostic Radiology Physician Roseville, MN

Practice location

Address: 2355 Hwy 36 W. STE. 100, Roseville, MN 55113
Phone: (651) 292-2000

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 75994 (MN)

Other Radiology providers in Minnesota →

Registry record

NPI: 1013401686
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2018
Record last updated: 21 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.