Provider Demographics
NPI:1194279992
Name:RENO FOOT & ANKLE INSTITUTE LLC
Entity type:Organization
Organization Name:RENO FOOT & ANKLE INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:KRESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:775-826-2662
Mailing Address - Street 1:PO BOX 1406
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89505-1406
Mailing Address - Country:US
Mailing Address - Phone:775-826-2662
Mailing Address - Fax:775-826-5121
Practice Address - Street 1:343 ELM ST
Practice Address - Street 2:SUITE 302
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4522
Practice Address - Country:US
Practice Address - Phone:775-826-2662
Practice Address - Fax:775-826-5121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9202213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty