Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 54031 | MN |
N | 208200000X | Surgeon | 54031 | MN |
N | 208600000X | Surgeon | 54031 | MN |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 54031 | MN |
NPI | 1043521636 |
---|---|
Provider Name | Janani S Reisenauer |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2010 |
Last Update Date | 19/08/2020 |