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General NPI Number Information
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NPI Number | 1508356619
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Entity Type | Organization
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Legal Business Name | THOMAS RIESER MD PLLC
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 1950 CURVE CREST BLVD W STE 130
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City | STILLWATER
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State | MN
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Zip | 55082
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Country | US
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Telephone | 651-269-0378
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Fax |
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Provider Business Mailing Address
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Address Line | 12733 103RD ST N
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City | STILLWATER
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State | MN
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Zip | 55082-9611
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS RIESER
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Credential |
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Telephone | 651-269-0378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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