Individual
MR. RICHARD LAWRENCE RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-7075
Mailing address
30426 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48082-1748
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704185386
MI
367500000X
Certified Registered Nurse Anesthetist
ARPN.CRNA019781
OH
Other
Enumeration date
11/17/2007
Last updated
11/16/2018
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