CARLI RENSKE REISDORF

PROVIDENCE, RI
NPI1013412717
Former NameCARLI RENSKE HAASBROEK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: RI  MD18657)
Additional Taxonomies207PP0204X Emergency Medicine Pediatric Emergency Medicine
(Licence: RI  MD18657)
Enumeration Date2018-03-26
Last Update Date2023-12-27
Business Address
CARLI RENSKE REISDORF MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-6680
Mailing Address
CARLI RENSKE REISDORF MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: