FERNANDO H. RIVERA M.D. INC

LAKE STATION, IN
NPI1316118276
Entity TypeOrganization
Authorized ContactFERNANDO H RIVERA
President
219-962-1418
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01027425A)
Enumeration Date2008-03-19
Last Update Date2008-03-19
Business Address
FERNANDO H. RIVERA M.D. INC
3099 CENTRAL AVE
LAKE STATION, IN 46405-2207
Phone number: 219-962-1418
Mailing Address
FERNANDO H. RIVERA M.D. INC
3099 CENTRAL AVE
LAKE STATION, IN 46405-2207
Phone number: 219-962-1418
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