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Individual
MICHAEL D. RICHARDS
Active
Individual
MICHAEL D. RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
543
SC
363A00000X
Physician Assistant
A543
SC
363AS0400X
Surgical Physician Assistant
Primary
543
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093PA
—
SC
05
—
QM0677
—
SC
01
—
S826798946
MEDICARE PTAN
SC
Enumeration date
02/03/2006
Last updated
11/10/2025
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