Provider Demographics
NPI:1649447533
Name:RIESE, AMY ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:ELIZABETH
Last Name:RIESE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3355 GLENDALE AVE
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2426
Mailing Address - Country:US
Mailing Address - Phone:419-383-7100
Mailing Address - Fax:419-383-2000
Practice Address - Street 1:2801 W BANCROFT ST
Practice Address - Street 2:MAIL STOP 513
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3328
Practice Address - Country:US
Practice Address - Phone:419-530-3451
Practice Address - Fax:419-530-3499
Is Sole Proprietor?:No
Enumeration Date:2008-05-10
Last Update Date:2013-01-31
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Provider Licenses
StateLicense IDTaxonomies
OH350994682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry