| Richter Md Pc | |
|
8355 Highland Rd White Lake MI 48386-4618 | |
| (248) 666-6005 | |
| (248) 666-6669 |
| Full Name | Richter Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 8355 Highland Rd, White Lake, Michigan |
| Authorized Official Name and Position | Maek H Richter (SECRETARY TREASURER) |
| Authorized Official Contact | 2488192414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richter Md Pc 8355 Highland Rd White Lake MI 48386-4618 Ph: (248) 666-6005 | Richter Md Pc 8355 Highland Rd White Lake MI 48386-4618 Ph: (248) 666-6005 |
| NPI Number | 1730152133 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 02/12/2016 |
| Medicare PECOS PAC ID | 0345220935 |
|---|---|
| Medicare Enrollment ID | O20040723000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730152133 | NPI | - | NPPES |
| 080186543 | Other | MEDICARE TRAVELERS | |
| 080F322550 | Other | MI | BCBS |
| 0994309 | Other | HEALTH PLUS | |
| 440849310 | Medicaid | MI | |
| 080F322550 | Other | BLUECARE NETWORK | |
| P3210 | Other | BLUECARE NETWORK | |
| F60165 | Other | HAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MR053494 (Michigan) | Primary |
| Provider Name | Mark H Richter |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659456523 PECOS PAC ID: 3971599853 Enrollment ID: I20040424000338 |
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