Individual
JENNIFER L RISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13355 E 10 MILE RD, SUITE 229, WARREN, MI 48089-2048
(586) 758-6263
(586) 758-7725
Mailing address
37399 GARFIELD RD, STE 203, CLINTON TWP, MI 48036-3672
(586) 228-2911
(586) 228-2901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101011870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3263097
—
MI
Enumeration date
07/21/2006
Last updated
10/15/2019
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