Individual
CAROLYN RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
721 3 MILE RD NW STE 200, GRAND RAPIDS, MI 49544-8224
(616) 647-3770
Mailing address
721 3 MILE RD NW STE 200, GRAND RAPIDS, MI 49544-8224
(616) 647-3770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151014405
MI
Other
Enumeration date
06/19/2020
Last updated
12/12/2023
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