Individual
DR. DANIEL DOUGLAS RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E 20TH ST STE 350, CHEYENNE, WY 82001-3884
(307) 996-1560
(307) 996-1565
Mailing address
3880 SALEM LAKE DR, STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.119810
IL
207R00000X
Internal Medicine Physician
Primary
10667A
WY
208M00000X
Hospitalist Physician
036119810
IL
208M00000X
Hospitalist Physician
10667A
WY
Other
Enumeration date
04/28/2008
Last updated
03/07/2023
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