Individual
DR. VIVIAN R RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1122 W HIGHWAY 61, WINONA, MN 55987-1957
(507) 615-0600
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34302
MN
208000000X
Pediatrics Physician
71936
WI
Other
Enumeration date
06/09/2006
Last updated
01/08/2020
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