Individual
MICHAEL ANDREW RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8796
Mailing address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8796
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30736
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04456
BLUE CROSS BLUE SHIELD
IA
05
—
0478891
—
IA
05
—
34805600
—
WI
Enumeration date
02/14/2006
Last updated
12/11/2007
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