Organization
RICHARD EASTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W EASTON M.D. (PRES.)
(248) 879-8441
Entity
Organization
Contact information
Practice address
44199 DEQUINDRE, SUITE 250, TROY, MI 48085-1128
(248) 879-8441
(248) 879-6841
Mailing address
44199 DEQUINDRE, SUITE 250, TROY, MI 48085-1128
(248) 879-8441
(248) 879-6841
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301051364
MI
207X00000X
Orthopaedic Surgery Physician
RE051364
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057123 10
—
MI
Enumeration date
08/31/2006
Last updated
01/09/2009
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