Individual
GERARDO ALBERTO ORTIZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351047544
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4351047544
MI
Other
Enumeration date
05/29/2021
Last updated
06/25/2024
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