Individual
MICHAEL J RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
97 ST ANDREWS DRIVE, SUITE 100, UNION, MO 63084
(636) 583-2946
(636) 583-6131
Mailing address
97 ST ANDREWS DRIVE, SUITE 100, UNION, MO 63084
(636) 583-2946
(636) 583-6131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006036186
MO
Other
Enumeration date
06/23/2006
Last updated
07/24/2025
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