Individual
DR. MARK ALAN RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 CHARLEVOIX AVE, PETOSKEY, MI 49770
(231) 881-9054
(231) 881-9052
Mailing address
2810 CHARLEVOIX AVE,, SUITE 104, PETOSKEY, MI 49770
(231) 881-9054
(231) 881-9052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301058393
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104085730
—
MI
Enumeration date
06/30/2005
Last updated
01/23/2025
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