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Contact Information

EARL J REISDORFF, DO
401 W GREENLAWN
LANSING, MI48910
 Phone: 517-487-1288
 Fax: 517-487-1129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for EARL J REISDORFF · (Male)

NPI Number 1023162351
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/23/2007
Last updated 01/28/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301049211
  • MI Medicaid 1810909
Hospital affiliation(s) Not Available
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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