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Contact Information

NATHANIEL W REDISKE, MD
1 UNIVERSITY OF NEW MEXICO
MSC11 6093
ALBUQUERQUE, NM87131-0001
 Phone: 505-272-6225
 Fax: 505-272-5184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for NATHANIEL W REDISKE · (Male)

NPI # 1679884241
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2010
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 52586
  • NM License # MD2015-0602
Hospital affiliation(s)
  • ST PETER'S HOSPITAL - (Acute Care)
    2475 BROADWAY
    HELENA, MT 59601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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