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Individual
RICHARD JOHN STANLEY
Active
Individual
RICHARD JOHN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101016458
MI
207X00000X
Orthopaedic Surgery Physician
Primary
DO150596
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500622779
—
OR
Enumeration date
07/12/2007
Last updated
08/10/2010
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