person
Rodney Riesland, NP
Primary Care Nurse Practitioner in Marquette, Michigan
NPI 1013998574

Rodney Riesland is a Primary Care Nurse Practitioner based in Marquette, MI and is specialized in Primary Care. Rodney Riesland practices in Marquette, MI and has the professional credentials of NP. The NPI Number for Rodney Riesland is 1013998574 and holds a License No. 205362 (Michigan).

The current practice location address for Rodney Riesland is 1414 W Fair Ave, Marquette, MI and can be reached out via phone at 906-225-3910 and via fax at 906-225-4529.

Location: 1414 W Fair Ave, Marquette, MI, 49855-0220
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Provider Profile Details
NPI Number
1013998574
Provider Name
Rodney Riesland
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1414 W Fair Ave, Marquette, MI, 49855-0220
Phone Number
906-225-3910
Fax Number
906-225-4529
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00045838 01 MI RAILROAD MEDICARE
4517925 05 MI
381358036011 01 MI TRICARE
institution
Provider Business Practice Location Address Details
Address
1414 W Fair Ave
City
State
Zip
49855-2675
Phone Number
906-225-3910
Fax Number
906-225-4529
person
Provider Business Mailing Address Details
Address
1414 W Fair Ave
City
State
Zip
49855-2675
Phone Number
906-225-3910
Fax Number
906-225-4529
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
205362 (Michigan)
Definition
Definition to come...
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