| Doctor Name: | MRS. TAMARA L SYMONDS RIESS |
| NPI Number: | 1144281130 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.N.P. |
| License Number: | 4704120640 |
| Business Practice Address: | 804 E Front St Buchanan, MI - 491071444 |
| Business Phone Number: | 2696953897 |
| Business Fax Number: | 2696950460 |
| Mailing Address: | 804 E Front St, BUCHANAN |
| State: | MI |
| Postal Code: | 491071444 |
| Phone Number: | 2696953897 |
| Fax Number: | 2696950460 |
| NPI Enumeration Date: | 03/29/2006 |
| NPI Last Update Date: | 03/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704120640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |