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John David Reisman, MD
Urology Physician in Lafayette, Indiana
NPI 1295704427

John David Reisman is a Urology Physician based in Muncie, IN. John David Reisman practices in Lafayette, IN and has the professional credentials of MD. The NPI Number for John David Reisman is 1295704427 and holds a License No. 01040939A (Indiana).

The current practice location address for John David Reisman is 2600 Greenbush St, Lafayette, IN and can be reached out via phone at 765-448-8000 and via fax at 765-448-7619. You can also correspond with John David Reisman through the mailing address at 1200 W WHITE RIVER BLVD, MUNCIE, IN - 47303-4988 (mailing address contact number: 877-668-5621).

Location: 2600 Greenbush St, Lafayette, IN, 47303-4988
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Provider Profile Details
NPI Number
1295704427
Provider Name
John David Reisman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2600 Greenbush St, Lafayette, IN, 47303-4988
Phone Number
765-448-8000
Fax Number
765-448-7619
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000196959 01 IN ANTHEM PROVIDER NUMBER
10825818 01 IN CAQH NUMBER
100095530 05 IN
9038973 01 IN PHCS PID NUMBER
RE17626034 05 IN
institution
Provider Business Practice Location Address Details
Address
2600 Greenbush St
City
State
Zip
47904-2479
Phone Number
765-448-8000
Fax Number
765-448-7619
person
Provider Business Mailing Address Details
Address
1200 W White River Blvd
City
State
Zip
47303-4988
Phone Number
877-668-5621
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
01040939A (Indiana)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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