Reiser, Shawn Leslie

Reiser, Shawn Leslie is an individual health care provider with primary practice located at 1303 S Linden Rd Community Podiatry Group Suite D, Flint MI 48532-3442. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Reiser, Shawn Leslie can be contacted via phone (215) 888-4358.

Contact Information

Primary practice address
1303 S Linden Rd Community Podiatry Group Suite D Flint MI 48532-3442
Fax: (810) 230-8090
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X L918367 Michigan

Profile Details

NPI number 1225074271
LBN Legal business name Reiser, Shawn Leslie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated May 19th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225074271 NPPES
Michigan MEDICAID 4899355
Michigan Other 381898080

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