| Doctor Name: | RODNEY RIESLAND |
| NPI Number: | 1013998574 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 205362 |
| Business Practice Address: | 1414 W Fair Ave Ste 344 Marquette, MI - 498552675 |
| Business Phone Number: | 9062253910 |
| Business Fax Number: | 9062254529 |
| Mailing Address: | Po Box 220, MARQUETTE |
| State: | MI |
| Postal Code: | 498550220 |
| Phone Number: | 9062253910 |
| Fax Number: | 9062254529 |
| NPI Enumeration Date: | 11/10/2005 |
| NPI Last Update Date: | 03/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 205362 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |