Most Relevant Information
Provider Data
| NPI Number: | 1003355504 |
| Provider Name: | ALLYSON BOWES RIVARD D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 5151012118 |
Most Important Dates
| Enumeration Date: | 02/16/2017 |
| Last Updated: | 07/15/2022 |
Provider Practice Location
1000 HARRINGTON BLVD.
MOUNT CLEMENS
MI
480432920
Practice Location Phone/Fax
| Phone: | 5864938000 |
| Fax: |
Provider Mailing Location
579 N PONTIAC TRL
WALLED LAKE
MI
483903442
Provider Mailing Phone/Fax
| Phone: | 2316491309 |
| Fax: |
Suggested EMR
Surgeon EMR