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Individual

MARTIN C RICHMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6401 FRANCE AVE S, FAIRVIEW SOUTHDALE HOSPITAL, EDINA, MN 55435
(952) 924-5141
(952) 924-5796
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27018
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27018
MEDICAL LICENSE
MN
05
850377000
MN
Enumeration date
03/31/2006
Last updated
04/06/2010
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