Individual
MR. GREGORY V. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 N. WABASH AVE, MARION, IN 46952
(765) 662-3971
(765) 668-6718
Mailing address
505 N. WABASH AVE, MARION, IN 46952
(765) 662-3971
(765) 668-6718
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01032282
IN
2084P0800X
Psychiatry Physician
Primary
01032282A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100323530
—
IN
Enumeration date
12/05/2006
Last updated
11/22/2010
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