NPI 1295704427

John David Reisman, MD

Practitioner Urology Physician Lafayette, IN

Practice location

Address: 2600 Greenbush St, Lafayette, IN 47904-2479
Phone: (765) 448-8000
Fax: (765) 448-7619
Mailing address: 1200 W White River Blvd, Muncie, IN 47303-4988

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 01040939A (IN)

Other Urology providers in Indiana →

Registry record

NPI: 1295704427
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2006
Record last updated: 19 Feb 2021

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.