NPI 1437427614

Phil J Reisenauer, MT

Practitioner Community Health Worker Dickinson, ND

Practice location

Address: 188 Osborn Dr, Dickinson, ND 58601-3960
Phone: (701) 225-3906

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 93 (ND)

Other Community Health Worker providers in North Dakota →

Registry record

NPI: 1437427614
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2011
Record last updated: 2 Dec 2011

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.