Individual
DR. MAXFIELD D RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 STATE AVE, FARIBAULT, MN 55021-6339
(507) 334-6451
Mailing address
200 STATE AVE, FARIBAULT, MN 55021-6339
(507) 334-6451
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101020014
MI
208600000X
Surgery Physician
Primary
62260
MN
Other
Enumeration date
06/07/2012
Last updated
04/09/2021
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