Provider Demographics
NPI:1548078207
Name:MEISNER, REID
Entity type:Individual
Prefix:
First Name:REID
Middle Name:
Last Name:MEISNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 W 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54902-5510
Mailing Address - Country:US
Mailing Address - Phone:920-966-6276
Mailing Address - Fax:920-966-6278
Practice Address - Street 1:1755 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54902-5510
Practice Address - Country:US
Practice Address - Phone:920-966-6276
Practice Address - Fax:920-966-6278
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care