Individual
MICHELLE R RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2535 HALE ST, SUITE A, AVON, OH 44011-1856
(440) 934-8810
(440) 934-8811
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.0035424
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2641574
—
OH
01
—
P00838707
RAILROAD MEDICARE
OH
Enumeration date
03/14/2006
Last updated
12/08/2020
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