Individual
DR. NASSEEM FARHAN RIZKALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 W ICE LAKE RD, IRON RIVER, MI 49935-8509
(906) 265-9001
(906) 265-3056
Mailing address
1400 W ICE LAKE RD, IRON RIVER, MI 49935-9526
(906) 265-6121
(906) 265-4245
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
044605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203641031
BCBSM
MI
05
—
1575282
—
MI
05
—
1770699167
—
MI
Enumeration date
08/21/2006
Last updated
09/19/2013
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