Healthcare Provider Details

I. General information

NPI: 1528962180
Provider Name (Legal Business Name): RIKKI-LEIGH GAUDET PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DR
ANN ARBOR MI
48109-5000
US

IV. Provider business mailing address

2356 NIXON RD
ANN ARBOR MI
48105-1419
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-8791
  • Fax:
Mailing address:
  • Phone: 734-936-8791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number5302042856
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: