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Individual
DR. EVE M RIDER
Active
Individual
DR. EVE M RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101012030
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
OS17094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160B41011
BCBS MI
MI
01
—
383445481
TAX ID
MI
05
—
4640259
—
MI
Enumeration date
03/10/2006
Last updated
01/07/2021
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