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NPI Code Detail

MEDICARE: MICHAEL CARL RIEBEN

MEDICARE: MICHAEL CARL RIEBEN
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
1183500000XPharmacist4722TN

General Provider Information

NPI Number : 1255849782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CARL RIEBEN
Provider Business Mailing Address
First Line : 2151 WINTHORNE LN
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-6630
Country : US
Telephone Number : 615-260-0160
Fax Number :
Provider Business Practice Location Address
First Line : 2000 OLD FORT PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-6907
Country : US
Telephone Number : 615-895-3164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2018
Last Update Date : 01/18/2018

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Directions to “ MICHAEL CARL RIEBEN ” Practice Location

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