Riley, Michael Andrew

Riley, Michael Andrew is an individual health care provider with primary practice located at 250 Mercy Dr , Dubuque IA 52001-7320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Riley, Michael Andrew can be contacted via phone (563) 589-8796.

Contact Information

Primary practice address
250 Mercy Dr Dubuque IA 52001-7320
Phone: (563) 589-8796
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30736 Iowa

Profile Details

NPI number 1194799577
LBN Legal business name Riley, Michael Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Dec 11th, 2007 - about 18 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 1194799577 NPPES
Wisconsin MEDICAID 34805600
Wisconsin Other 04456
Wisconsin MEDICAID 0478891

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