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Individual

ERICA KRISTEN RIDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
16801 NEWBURGH RD STE 106, LIVONIA, MI 48154-1606
(734) 591-6660
(734) 744-8514
Mailing address
16801 NEWBURGH RD STE 106, LIVONIA, MI 48154-1606
(734) 591-6660
(734) 744-8514

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301500514
MI
207R00000X
Internal Medicine Physician
4301105077
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CV0022635
MI
Enumeration date
04/04/2014
Last updated
07/29/2020
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