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Individual

RICHARD ELSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1402 W COURT ST, FLINT, MI 48503-5004
(810) 767-3220
(810) 767-7969
Mailing address
1402 W COURT ST, FLINT, MI 48503-5004
(810) 767-3220
(810) 767-7969

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OS024584C
PA
207VX0000X
Obstetrics Physician
Primary
5101009256
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112647368
MI
01
160B576250
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/20/2006
Last updated
04/15/2025
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