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Organization
SARA L RIVETTE MD PC
Active
Organization
SARA L RIVETTE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA L RIVETTE MD (OWNER)
(989) 797-4231
Entity
Organization
Contact information
Practice address
3400 N CENTER RD, SUITE 500, SAGINAW, MI 48603-7919
(989) 797-4231
(989) 797-4240
Mailing address
3400 N CENTER RD, SUITE 500, SAGINAW, MI 48603-7919
(989) 797-4231
(989) 797-4240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
301056572
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0731278
BLUE CROSS BLUE SHIELD
—
01
—
1107312781
HEALTH PLUS
—
01
—
11287024
CAQH
—
05
—
4260394
—
MI
01
—
P065019
BLUE CARE NETWORK
—
Enumeration date
06/18/2010
Last updated
06/18/2010
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