Organization
MI PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA A RICHARDSON DO (OWNER)
(231) 943-1454
Entity
Organization
Contact information
Practice address
3865 W FRONT ST, SUITE 5, TRAVERSE CITY, MI 49684-8101
(231) 943-1454
Mailing address
3865 W FRONT ST, SUITE 5, TRAVERSE CITY, MI 49684-8101
(231) 943-1454
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101013386
MI
Other
Enumeration date
12/31/2014
Last updated
02/27/2015
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