Risvold, Mary

Risvold, Mary is an individual health care provider with primary practice located at 1700 W Stout St , Rice Lake WI 54868-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Risvold, Mary can be contacted via phone (715) 236-4450.

Contact Information

Primary practice address
1700 W Stout St Rice Lake WI 54868-5000
Phone: (715) 236-4450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 37737 Iowa
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 5124 Alaska
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 84146 Wisconsin

Profile Details

NPI number 1346322559
LBN Legal business name Risvold, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 2nd, 2024 - about 2 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 1346322559 NPPES
Alaska MEDICAID 5124

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