Riesland, Rodney

Riesland, Rodney is an individual health care provider with primary practice located at 1414 W Fair Ave Ste 344, Marquette MI 49855-2675. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Riesland, Rodney can be contacted via phone (906) 225-3910.

Contact Information

Primary practice address
1414 W Fair Ave Ste 344 Marquette MI 49855-2675
Phone: (906) 225-3910
Fax: (906) 225-4529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 205362 Michigan

Profile Details

NPI number 1013998574
LBN Legal business name Riesland, Rodney
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 3rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013998574 NPPES
Michigan Other P00045838 RAILROAD MEDICARE
Michigan MEDICAID 4517925 RAILROAD MEDICARE
Michigan Other 381358036011 RAILROAD MEDICARE

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