Individual
DR. RICHARD FLOYD TREVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8782 STONEY CREEK DR, SOUTH LYON, MI 48178-9492
(248) 437-4945
Mailing address
8782 STONEY CREEK DR, SOUTH LYON, MI 48178-9492
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
5101005046
MI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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