Individual
PATRICIA LYNN RICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1655 BEAM AVE STE 302, MAPLEWOOD, MN 55109-1163
(612) 221-6034
(651) 407-0117
Mailing address
2515 WHITE BEAR AVE A-8 / 205, SAINT PAUL, MN 55109-5155
(612) 221-6034
(651) 407-0117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35811
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448783400
—
MN
Enumeration date
08/02/2006
Last updated
05/14/2015
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