Organization
RIVERVIEW LIFELINE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAL OBRZUT (CODING MANAGER)
(847) 388-2032
Entity
Organization
Contact information
Practice address
7633 EAST JEFFERSON AVE, DETROIT, MI 48214
(847) 388-2032
(847) 388-2020
Mailing address
22201 MOROSS RD, DETROIT, MI 48236-2169
(847) 388-2032
(847) 388-2020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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