Individual
JEFFREY RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 KENDALL ST S, BATTLE CREEK, MI 49037-8471
(269) 441-4141
(269) 441-4142
Mailing address
150 KENDALL ST S, BATTLE CREEK, MI 49037-8471
(269) 441-4141
(269) 441-4142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301053532
MI
208D00000X
General Practice Physician
MD-17111
HI
Other
Enumeration date
03/30/2014
Last updated
07/13/2015
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