IndividualActive
Christin Reisenauer, MD
NPI 1205802998 · Diagnostic Radiology Physician · Moscow, ID
Provider details
- NPI number
- 1205802998
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M6554 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
405 Styner Ave
Moscow, ID 83843-9394
Phone: (208) 882-8369
Fax: (208) 882-1887
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9583
Moscow, ID 83843-0177
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2014-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.