NPI 1033503594
Jacob H Reisner, DO
Practice location
- Address
- 2770 E Beltline Ave NE, Grand Rapids, MI 49525-8614
- Phone
- (616) 267-8860
- Mailing address
- 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560
Registered specialties
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Registry record
- NPI
- 1033503594
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Mar 2015
- Record last updated
- 5 Nov 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.