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Individual

ALAN LEN RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
735 S SHOOP AVE, WAUSEON, OH 43567-1735
(419) 335-3242
(419) 335-3222
Mailing address
735 S SHOOP AVE, WAUSEON, OH 43567-1735
(419) 335-3242
(419) 335-3222

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
057245
GA
207R00000X
Internal Medicine Physician
Primary
35.078607
OH
208M00000X
Hospitalist Physician
35.078607
OH

Other

Enumeration date
02/23/2006
Last updated
09/28/2016
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