Individual
ALBERTO RIVERA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
926 S WASHINGTON AVE, HOLLAND, MI 49423-7725
(616) 820-3780
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301064703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4780133
—
MI
05
—
4780142
—
MI
Enumeration date
05/18/2006
Last updated
05/22/2013
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