Riekse, Robert

Riekse, Robert is an individual health care provider with primary practice located at 200 Jefferson Ave Se , Grand Rapids MI 49503-4502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Riekse, Robert can be contacted via phone (616) 685-1835.

Contact Information

Primary practice address
200 Jefferson Ave Se Grand Rapids MI 49503-4502
Phone: (616) 685-1835
Fax: (616) 685-1846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301070687 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301070687 Michigan

Profile Details

NPI number 1225081672
LBN Legal business name Riekse, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225081672 NPPES
Michigan MEDICAID 4731700
Michigan MEDICAID 4844740
Michigan MEDICAID 4877901

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