Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 6915 | MD |
NPI | 1053464461 |
---|---|
Provider Name | Dr. Michael J Riger |
First Address | Lutherville, MD 21093-3739 |
Second Address | Lutherville, MD 21093-4615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 08/07/2007 |