Individual
DR. RICHARD DWAYNE ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2114 STATE ROUTE 113 E, ZZZ ANESTHESIA, MILAN, OH 44846-9483
(419) 499-4500
Mailing address
2114 STATE ROUTE 113 E, ZZZ ANESTHESIA, MILAN, OH 44846-9483
(419) 499-4500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301086457
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104758286
—
MI
Enumeration date
09/30/2005
Last updated
10/14/2009
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