Individual
ALLYSON BOWES RIVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 HARRINGTON BLVD., MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
579 N PONTIAC TRL, WALLED LAKE, MI 48390-3442
(231) 649-1309
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
05226
KY
208600000X
Surgery Physician
5151012118
MI
Other
Enumeration date
02/16/2017
Last updated
07/15/2022
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