PHIL J REISENAUER

DICKINSON, ND
NPI1437427614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: ND  93)
Enumeration Date2011-12-02
Last Update Date2011-12-02
Business Address
Mr. PHIL J REISENAUER MT
188 OSBORN DR
DICKINSON, ND 58601-3960
Phone number: 701-225-3906
Mailing Address
Mr. PHIL J REISENAUER MT
188 OSBORN DR
DICKINSON, ND 58601-3960
Phone number: 701-225-3906