Individual
GARRETT MICHEAL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4611 CAMPUS RIDGE DR, MIDLAND, MI 48640-9533
(844) 832-1956
Mailing address
4000 WELLNESS DRIVE, MIDLAND MALL, MIDLAND, MI 48670
(844) 832-1956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351053118
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/26/2022
Last updated
04/24/2024
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