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Individual
ROBERT RYAN RIECH
Active
Individual
ROBERT RYAN RIECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01060841A
IN
208000000X
Pediatrics Physician
01060841A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118731
—
IL
01
—
809840
MEDICARE GROUP #
—
01
—
CA4079
RR MEDICARE GROUP #
—
01
—
P00406149
RR MEDICARE - INDIVIDUAL
—
Enumeration date
11/27/2006
Last updated
09/25/2007
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