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Individual

MARCIE L RICHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47123
MN
207RX0202X
Medical Oncology Physician
Primary
ME104501
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000866300
FL
05
0079169
MT
01
1041329
PREFERRED ONE
MN
01
132037
UCARE
MN
01
2154903
ARAZ
MN
01
36-00013
MEDICA PRIMARY
MN
01
36-00511
MEDICA CHOICE
MN
01
711085
FAIRVIEW
MN
01
HP42942
HEALTH PARTNERS
MN
Enumeration date
10/11/2006
Last updated
12/06/2019
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