Individual
REGINA ELIZABETH RIZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 NORTH POND DRIVE, SUITE E, WALLED LAKE, MI 48390
(248) 669-2273
(248) 926-8624
Mailing address
100 NORTH POND DRIVE, SUITE E, WALLED LAKE, MI 48390
(248) 669-2273
(248) 926-8624
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PP052769
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0639787
BCBS
—
05
—
4292137
—
MI
01
—
F70284
NAP
—
Enumeration date
09/21/2006
Last updated
07/08/2007
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