Individual
EMMANUEL CANDAL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 ARNET ST STE 200, YPSILANTI, MI 48198-5753
(734) 482-6221
Mailing address
200 ARNET ST STE 200, YPSILANTI, MI 48198-5753
(734) 482-6221
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
23375
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351052318
MI
Other
Enumeration date
02/07/2020
Last updated
06/10/2024
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