Provider Demographics
NPI:1528576006
Name:REISSING, DEVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:
Last Name:REISSING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 S FELKER AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-4455
Mailing Address - Country:US
Mailing Address - Phone:414-688-7866
Mailing Address - Fax:
Practice Address - Street 1:200 AIR PARK RD
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-8626
Practice Address - Country:US
Practice Address - Phone:715-384-3553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5312-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor