Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | R10724 | MI |
NPI | 1033218110 |
---|---|
Provider Name | Prof. Richard Resler |
First Address | Saginaw, MI 48603-2836 |
Second Address | Saginaw, MI 48638-7188 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/07/2007 |