Provider Demographics
NPI:1629561063
Name:RIVKIN, AARON MATTHEW (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:MATTHEW
Last Name:RIVKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:SUITE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-467-4000
Mailing Address - Fax:
Practice Address - Street 1:IHA RECOVERY MEDICINE
Practice Address - Street 2:5333 MCAULEY DRIVE, SUITE 5011
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1003
Practice Address - Country:US
Practice Address - Phone:734-712-8700
Practice Address - Fax:734-622-5017
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301504376207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine