Individual
RICHARD E BELMONT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 258-3090
(320) 258-3095
Mailing address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 258-3090
(715) 258-3095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
41952
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30096100
—
WI
Enumeration date
08/11/2005
Last updated
04/12/2023
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