SUSAN MARIE MOORE-RIESBECK

ELKHART, IN
NPI1215090378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02001290A)
Enumeration Date2006-12-19
Last Update Date2020-10-30
Business Address
SUSAN MARIE MOORE-RIESBECK D.O.
28070 COUNTY ROAD 24
ELKHART, IN 46517-9717
Phone number: 574-273-8053
Mailing Address
SUSAN MARIE MOORE-RIESBECK D.O.
PO BOX 175
GRANGER, IN 46530-0175
Phone number: 574-273-8053