NPI 1407303662
Robert Allen Reisch
Practice location
- Address
- 19758 Dayton Hollow Ln, Fergus Falls, MN 56537-7621
- Phone
- (218) 340-1359
- Fax
- (218) 737-0028
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1407303662
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Sep 2016
- Record last updated
- 6 Sep 2016
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.