Provider Demographics
NPI:1184628174
Name:KRESSLER, MICHAEL RICHARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:RICHARD
Last Name:KRESSLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5605 RIGGINS CT
Mailing Address - Street 2:STE 103
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-6575
Mailing Address - Country:US
Mailing Address - Phone:775-826-2662
Mailing Address - Fax:775-826-5121
Practice Address - Street 1:5605 RIGGINS CT
Practice Address - Street 2:STE 103
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6575
Practice Address - Country:US
Practice Address - Phone:775-826-2662
Practice Address - Fax:775-826-5121
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9202213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU33942Medicare UPIN
NVVDPM9202Medicare PIN