Basic Information
| Provider Information | |||||||||
| NPI: | 1902061427 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | REISBIG | ||||||||
| FirstName: | MARK | ||||||||
| MiddleName: | DEVOY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | UNMC ANESTHESIOLOGY | ||||||||
| Address2: | 984455 NEBRASKA MEDICAL CENTER | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681984455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025594081 | ||||||||
| FaxNumber: | 4025597372 | ||||||||
| Practice Location | |||||||||
| Address1: | UNMC ANESTHESIOLOGY | ||||||||
| Address2: | 984455 NEBRASKA MEDICAL CENTER | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681984455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025594081 | ||||||||
| FaxNumber: | 4025597372 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2008 | ||||||||
| LastUpdateDate: | 09/29/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | TEP6088 | NE | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.