Provider Demographics
NPI:1043902471
Name:MORIN, RIVA MARAIS MACBETH (DO)
Entity Type:Individual
Prefix:
First Name:RIVA
Middle Name:MARAIS MACBETH
Last Name:MORIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:RIVA
Other - Middle Name:MARAIS
Other - Last Name:MACBETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 HOUGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5303
Mailing Address - Country:US
Mailing Address - Phone:989-746-7622
Mailing Address - Fax:989-746-7747
Practice Address - Street 1:1000 HOUGHTON AVE OFC
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5303
Practice Address - Country:US
Practice Address - Phone:989-746-7500
Practice Address - Fax:989-746-7747
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5151016162207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology