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Individual
GARY S. RICHARDSON
Active
Individual
GARY S. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
073466
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
073466
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
073466
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411790510
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
GR073466
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/06/2006
Last updated
09/24/2015
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