Individual
MR. JASON ANDREW RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 774-7870
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(734) 223-4986
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704296152
MI
Other
Enumeration date
07/07/2021
Last updated
01/05/2026
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