Individual
WILLIAM K RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4000
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2297
(989) 401-4245
(989) 401-4235
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101010779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113497443
—
MI
01
—
300088078
RAILROAD MEDICARE
MI
01
—
3052422495
BCBS
MI
Enumeration date
07/19/2005
Last updated
08/13/2018
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