Individual
JOHN B RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
739 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6045
(616) 994-2770
(616) 920-6533
Mailing address
3100 N WELLNESS DR, HOLLAND, MI 49424-8122
(164) 336-0036
(616) 920-6533
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
5101027426
MI
Other
Enumeration date
03/29/2018
Last updated
11/20/2023
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