Healthcare Provider Details

I. General information

NPI: 1699125377
Provider Name (Legal Business Name): RILEY TORREANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 W MAIN ST
MARQUETTE MI
49855-4651
US

IV. Provider business mailing address

PO BOX 13811
BELFAST ME
04915-4029
US

V. Phone/Fax

Practice location:
  • Phone: 906-225-3988
  • Fax: 906-225-4707
Mailing address:
  • Phone: 906-225-3630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301110302
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301110302
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: