Individual
DR. ZACHARY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125066444
IL
207R00000X
Internal Medicine Physician
Primary
69363-20
WI
Other
Enumeration date
04/02/2015
Last updated
07/25/2018
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