person
Dr. Michel Rivlin, MD
Gynecology Physician in Jackson, Mississippi
NPI 1902833429

Michel Rivlin is a Gynecology Physician based in Jackson, MS and is specialized in Gynecology. Michel Rivlin practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Michel Rivlin is 1902833429 and holds a License No. 8037 (Mississippi).

The current practice location address for Michel Rivlin is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5373 and via fax at 601-984-5476. You can also correspond with Michel Rivlin through the mailing address at 2500 N STATE ST, JACKSON, MS - 39216-4500 (mailing address contact number: 601-984-5373).

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1902833429
Provider Name
Michel Rivlin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-5373
Fax Number
601-984-5476
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
512G700003 01 MS UP MEDICARE GROUP PROV#
512I160014 01 MS MEDICARE PTAN
P00616899 01 MS UP RR MEDICARE PTAN#
00016020 05 MS
08103071 01 MS UP MEDICAID GROUP PROV#
160039244 01 MS RR MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5373
Fax Number
601-984-5476
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5373
Fax Number
601-984-5476
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
8037 (Mississippi)
Definition
Definition to come...
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