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Individual

DR. RICHARD EDWARD HONICKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1540 LAKE LANSING RD, SUITE 107, LANSING, MI 48912-3756
(517) 913-3800
(517) 913-3801
Mailing address
1540 LAKE LANSING RD, SUITE 107, LANSING, MI 48912-3756
(517) 913-3800
(517) 913-3801

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
4301036851
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0M21440065
MEDICARE PLUS BLUE
MI
01
1038849
MCLAREN HEALTH ADVANTAGE
MI
01
200000021303
PHP
MI
01
3503352731
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
4322962
AETNA
MI
01
P00848493
MEDICARE RAILROD
MI
Enumeration date
08/10/2006
Last updated
10/14/2010
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