person
Dr. Maria Michelle Rivera Ortiz, MD
General Practice Physician in Wagner, South Dakota
NPI 1538266655

Maria Michelle Rivera Ortiz is a General Practice Physician based in Wagner, SD. Maria Michelle Rivera Ortiz practices in Wagner, SD and has the professional credentials of MD. The NPI Number for Maria Michelle Rivera Ortiz is 1538266655 and holds a License No. 15680 (South Dakota).

The current practice location address for Maria Michelle Rivera Ortiz is 111 Washington Ave Nw, Wagner, SD and can be reached out via phone at 605-384-3621 and via fax at 605-384-5229. You can also correspond with Maria Michelle Rivera Ortiz through the mailing address at 111 WASHINGTON AVE NW, WAGNER, SD - 57380-4300 (mailing address contact number: 605-384-3621).

Location: 111 Washington Ave Nw, Wagner, SD, 57380-4300
person
Provider Profile Details
NPI Number
1538266655
Provider Name
Maria Michelle Rivera Ortiz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Washington Ave Nw, Wagner, SD, 57380-4300
Phone Number
605-384-3621
Fax Number
605-384-5229
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15680 01 PR MEDICAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
111 Washington Ave Nw
City
State
Zip
57380-4300
Phone Number
605-384-3621
Fax Number
605-384-5229
person
Provider Business Mailing Address Details
Address
111 Washington Ave Nw
City
State
Zip
57380-4300
Phone Number
605-384-3621
Fax Number
605-384-5229
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
15680 ()
Definition
Definition to come...
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