Organization
DR. MARGUERITE RICHARDSON, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGUERITE RICHARDSON OD (OWNER/OPTOMETRIST)
(262) 880-4733
Entity
Organization
Contact information
Practice address
5600 DURAND AVE, RACINE, WI 53406-5053
(262) 554-5711
(262) 554-9603
Mailing address
4412 WOODLAND TRL, STURTEVANT, WI 53177-3058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3224-035
WI
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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