IndividualActive
Terry Reisner, MD
NPI 1295720779 · Family Medicine Physician · Plummer, ID
Provider details
- NPI number
- 1295720779
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 43629 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
427 N 12th
Plummer, ID 83851-0388
Phone: (208) 686-1931
Approximate (ZIP-level) locationGet directions
Mailing address
815 Jefferson St
Algoma, WI 54201-1733
Registry dates
- Enumerated
- 2005-09-12
- Last updated
- 2018-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.