Healthcare Provider Details

I. General information

NPI: 1184628174
Provider Name (Legal Business Name): MICHAEL RICHARD KRESSLER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W 7TH ST STE 302
RENO NV
89503-2700
US

IV. Provider business mailing address

PO BOX 1406
RENO NV
89505-1406
US

V. Phone/Fax

Practice location:
  • Phone: 775-826-2662
  • Fax: 775-826-5121
Mailing address:
  • Phone: 775-826-2662
  • Fax: 775-826-5121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number9202
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: