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Individual
MONIKA RIEDEL
Active
Individual
MONIKA RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704150473
MI
363LA2100X
Acute Care Nurse Practitioner
4704150473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538397120
GROUP NPI
MI
01
—
270381199
GROUP TAX ID
MI
05
—
4382717-
—
MI
01
—
500019851
RAILROAD MEDICARE
MI
Enumeration date
07/30/2006
Last updated
03/07/2023
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