Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAG RIVEDAL, RPH
Active Sole ProprietorDAG RIVEDAL, RPH is a Pharmacist Clinician (PhC) healthcare provider located in CUDAHY, Wisconsin. NPI 1154694610 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · CUDAHY, WI
Registration Details
- NPI Number
- 1154694610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2012 (14.539616789813 yrs)
- Last Updated
- Feb 14, 2012
- License
-
1176940 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3201 E LAYTON AVECUDAHY, WI, 531101402Browse WI providers · Browse ZIP 53110
- Phone
- 4144818220
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.