Individual provider · Type 1 NPI

Rickey M. Griffin Jr.

Student in an Organized Health Care Education/Training Program · Mequon, WI

NPI number 1225796238 Active

Practice location

12800 N Lake Shore Dr
Mequon, WI 53097-2418

Call (708) 737-6846 Map

Mailing address

10626 Ridgeland Ave Apt 3B
Chicago Ridge, IL 60415-1895

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1225796238

Rickey M. Griffin Jr.'s National Provider Identifier is 1225796238, issued on Dec 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mequon, WI. The record was last updated on Dec 7, 2021.