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Individual
ANDREW JOSIAH RIFE
Active
Individual
ANDREW JOSIAH RIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5601006701
MI
363A00000X
Physician Assistant
Primary
5601006701
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518922525
NPI
MI
Enumeration date
07/10/2013
Last updated
04/13/2021
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