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NPI Code Detail

MEDICARE: DR. WILLIAM MICHAEL REISMAN M.D.

MEDICARE: DR. WILLIAM MICHAEL REISMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician000676GA
2207X00000XOrthopaedic Surgery Physician2009-00216NC
3207XX0801XOrthopaedic Trauma Physician61510GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891971610
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM MICHAEL REISMAN M.D.
Provider Business Mailing Address
First Line : 3024 BUSINESS PARK CIR
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-3132
Country : US
Telephone Number : 615-239-2018
Fax Number :
Provider Business Practice Location Address
First Line : 1724 HAMILL RD STE 204
Second Line :
City : HIXSON
State : TN
Zip : 37343-5098
Country : US
Telephone Number : 423-877-4705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 02/09/2023

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