IndividualActive
Phil Reisenauer, MT
NPI 1437427614 · Community Health Worker · Dickinson, ND
Provider details
- NPI number
- 1437427614
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- MT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 93 (ND)
Specialties & taxonomies
Other Service Providers
Practice location
188 Osborn Dr
Dickinson, ND 58601-3960
Phone: (701) 225-3906
Approximate (ZIP-level) locationGet directions
Mailing address
188 Osborn Dr
Dickinson, ND 58601-3960
Registry dates
- Enumerated
- 2011-12-02
- Last updated
- 2011-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.