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Individual
DR. MICAH ROSE RICHARDSON
Active
Individual
DR. MICAH ROSE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01095627A
IN
207X00000X
Orthopaedic Surgery Physician
036173831
IL
207X00000X
Orthopaedic Surgery Physician
Primary
DR.0077709
CO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
01095627A
IN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
036173831
IL
208600000X
Surgery Physician
MD478807
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT217723
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/29/2019
Last updated
07/31/2026
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