Individual
MIKE RIEPL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 N 11TH ST, SUITE #2, BISMARCK, ND 58503-0594
(701) 224-9521
Mailing address
PO BOX 994, BISMARCK, ND 58502-0994
(701) 224-9521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3819
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24114
BC-BS INDIVIDUAL PROVIDER
ND
Enumeration date
04/10/2007
Last updated
07/08/2007
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