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NPI Code Detail

MEDICARE: MORGAN RIEBEL NP

MEDICARE: MORGAN RIEBEL NP
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
1363LF0000XFamily Nurse Practitioner4704320768MI

General Provider Information

NPI Number : 1174107817
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN RIEBEL NP
Provider Business Mailing Address
First Line : 6672 NEWARK RD
Second Line :
City : IMLAY CITY
State : MI
Zip : 48444-9657
Country : US
Telephone Number : 810-724-0591
Fax Number :
Provider Business Practice Location Address
First Line : 6672 NEWARK RD
Second Line :
City : IMLAY CITY
State : MI
Zip : 48444-9657
Country : US
Telephone Number : 810-724-0591
Fax Number : 810-724-0272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 05/10/2021

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