Doctor Name: | STEVEN RIOUX |
NPI Number: | 1790160372 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301108108 |
Business Practice Address: | 24911 Little Mack Ave Ste C Saint Clair Shores, MI - 480803200 |
Business Phone Number: | 5864479075 |
Business Fax Number: | |
Mailing Address: | 515 Riverside Drive West, Apt 706, WINDSOR |
State: | ONTARIO |
Postal Code: | N2P1P7 |
Phone Number: | 5137484964 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2015 |
NPI Last Update Date: | 07/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 4301108108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |