Provider Demographics
NPI:1902061427
Name:REISBIG, MARK DEVOY (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:DEVOY
Last Name:REISBIG
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:UNMC ANESTHESIOLOGY
Mailing Address - Street 2:984455 NEBRASKA MEDICAL CENTER
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-4455
Mailing Address - Country:US
Mailing Address - Phone:402-559-4081
Mailing Address - Fax:402-559-7372
Practice Address - Street 1:UNMC ANESTHESIOLOGY
Practice Address - Street 2:984455 NEBRASKA MEDICAL CENTER
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-4455
Practice Address - Country:US
Practice Address - Phone:402-559-4081
Practice Address - Fax:402-559-7372
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NETEP6088207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology