| Mark D Richardson MD PC | |
|
215 E Mansion St Ste 1e Marshall MI 49068-1167 | |
| (269) 781-3938 | |
| (269) 781-8364 |
| Full Name | Mark D Richardson MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 215 E Mansion St Ste 1e, Marshall, Michigan |
| Authorized Official Name and Position | Mark David Richardson (OWNER) |
| Authorized Official Contact | 2697813938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D Richardson MD PC 215 E Mansion St Ste 1e Marshall MI 49068-1167 Ph: (269) 781-3938 | Mark D Richardson MD PC 215 E Mansion St Ste 1e Marshall MI 49068-1167 Ph: (269) 781-3938 |
| NPI Number | 1669619441 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 06/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669619441 | NPI | - | NPPES |
| 2895802 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301047635 (Michigan) | Primary |
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