Individual
MICHELLE LYNN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 BEAUBIEN ER DEPT - GROUND FL, CHILDRENS HOSPITAL MI EMERGENCY MED, DETROIT, MI 48201
(313) 745-5260
(313) 966-0665
Mailing address
4201 ST. ANTOINE - UHC 5D #226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301064284
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
4301064284
MI
Other
Enumeration date
06/07/2006
Last updated
01/09/2017
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