Individual
ANDREW JOSIAH RIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2864 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3740
(906) 643-8689
Mailing address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 643-8689
(906) 643-6716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5601006701
MI
363A00000X
Physician Assistant
Primary
5601006701
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518922525
NPI
MI
Enumeration date
07/10/2013
Last updated
04/13/2021
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