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1700803335
DAVID RIESENBERGER
ALTON, IL
NPI
1700803335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036-060961)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
DAVID RIESENBERGER M.D.
1 MEMORIAL DR
ALTON, IL 62002-6722
Phone number: 618-463-7311
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Mailing Address
DAVID RIESENBERGER M.D.
30901 GATES RD
MODESTO, IL 62667-7141
Phone number: 217-439-7277
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