Individual
DANIEL L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
(517) 663-2671
Mailing address
PO BOX 634087, CINCINNATI, OH 45263-0001
(800) 540-8739
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
DR010322
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114570904
—
MI
Enumeration date
07/11/2006
Last updated
01/13/2020
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