Rodney Riesland
Nurse Practitioner - Primary Care
1414 W Fair Ave Ste 344
Marquette
, Michigan 49855-2675
Rodney Riesland
Nurse Practitioner - Primary Care
1414 W Fair Ave Ste 344
Marquette
, Michigan 49855-2675
(906) 225-4529
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Rodney Riesland
- Po Box 220
- Marquette, MI
- Zip : 49855-0220
- Fax : (906) 225-4529
- Phone : (906) 225-3910
Second Address
- Rodney Riesland
- 1414 W Fair Ave Ste 344
- Marquette, MI
- Zip : 49855-2675
- Fax : (906) 225-4529
- Phone : (906) 225-3910
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Is Rodney Riesland a sole practitioner?
Is Rodney Riesland accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 205362 | MI |
National Provider Identifier
| NPI | 1013998574 |
|---|---|
| Provider Name | Rodney Riesland |
| First Address | Marquette, MI 49855-0220 |
| Second Address | Marquette, MI 49855-2675 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2005 |
| Last Update Date | 03/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 381358036011 | TRICARE (01) | MI |
| 4517925 | (05) | MI |
| P00045838 | RAILROAD MEDICARE (01) | MI |
| P93444 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.