Individual
MICHAEL JAMES RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 JOHN F KENNEDY RD, DUBUQUE, IA 52002-3865
(563) 556-8332
(563) 556-8334
Mailing address
1900 JOHN F KENNEDY RD, DUBUQUE, IA 52002-3865
(563) 556-8332
(563) 556-8334
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-126465
IA
Other
Enumeration date
08/26/2010
Last updated
10/04/2010
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