MEDICARE: RIGA W KRUEGER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1578241006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIGA W KRUEGER DDS

Provider Business Mailing Address
First Line	:	47599 ABERDEEN DR
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48374-3691
Country	:	US
Telephone Number	:	248-921-0091
Fax Number	:

Provider Business Practice Location Address
First Line	:	3691 INDIAN LAKE RD
Second Line	:
City	:	NATIONAL CITY
State	:	MI
Zip	:	48748-9641
Country	:	US
Telephone Number	:	734-269-3615
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RIGA W KRUEGER
Credential	:	DDS
Telephone Number	:	248-921-0091

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	07/05/2023

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