Earl J Reisdorff is a Specialist in Lansing, Michigan. Earl J Reisdorff practices all healthcare services and medical treatments related to Specialist. The NPI Number for Earl J Reisdorff is 1023162351. The last update date is 2008-01-28.
Earl J Reisdorff's current location address is 1031 E Saginaw Street, Lansing, Michigan. You can contact this provider via phone number 5174871288 and fax number 5174871129. The mailing address for Earl J Reisdorff is 1031 E Saginaw Street, Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earl J Reisdorff |
|---|---|
| Address | 1031 E Saginaw Street, Lansing, Michigan |
| Phone Number | 5174871288 |
| Fax Number | 5174871129 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1023162351 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2008-01-28 |
Provider Mailing Address Detail
| Address | 1031 E Saginaw Street |
|---|---|
| City | Lansing |
| State | Michigan (MI) |
| Post Code | 48906 |
| Phone Number | 5174871288 |
| Fax Number | 5174871129 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4301049211 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1810909 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Earl J Reisdorff?
The Earl J Reisdorff has been issued the NPI (National Provider Identifier) 1023162351 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Earl J Reisdorff's physical address?
The Earl J Reisdorff is physically located at 1031 E Saginaw Street, in the city of Lansing, MI, with the postal code 48906.
What is the Earl J Reisdorff's specialty and taxonomy code?
The Earl J Reisdorff's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Earl J Reisdorff receive its 1023162351 assignment from the Centers for Medicare & Medicaid Services?
The Earl J Reisdorff was assigned its 1023162351 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Earl J Reisdorff most recently updated?
The details pertaining to the Earl J Reisdorff, including its address, specialty, and other relevant information, were last refreshed on 2008-01-28.