Individual
MARK RIVAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
232 ESDRAS PLACE, WINDSOR, ON N8S 2-M5
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704335574
MI
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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