MEDICARE: ERICA RIGER

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	174400000X	Specialist
2	247200000X	Other Technician

General Provider Information

NPI Number	:	1942677067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA RIGER

Provider Business Mailing Address
First Line	:	7285 HIDDENBROOK LN
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3508
Country	:	US
Telephone Number	:	248-904-9743
Fax Number	:

Provider Business Practice Location Address
First Line	:	7285 HIDDENBROOK LN
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3508
Country	:	US
Telephone Number	:	248-904-9743
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2015
Last Update Date	:	09/09/2016

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