Healthcare Provider Details

I. General information

NPI: 1164356432
Provider Name (Legal Business Name): REESE ROSENMEYER
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 S PHILLIPS ST
ALGONA IA
50511-3649
US

IV. Provider business mailing address

1705 210TH ST
ALGONA IA
50511-7078
US

V. Phone/Fax

Practice location:
  • Phone: 515-295-2451
  • Fax:
Mailing address:
  • Phone: 515-361-0432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: