Individual
JUANITA M RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4005 ORCHARD DR, MIDLAND, MI 48670-0001
(989) 839-3606
(989) 839-1509
Mailing address
4005 ORCHARD DR, MIDLAND, MI 48670-0001
(989) 839-3606
(989) 839-1509
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301081471
MI
207L00000X
Anesthesiology Physician
47082
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741122700
—
MN
Enumeration date
01/16/2006
Last updated
05/14/2008
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