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Individual

DR. MARK ALAN RICHTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3116 ROBINHOOD LN, SOUTH BEND, IN 46614-2114
(574) 287-4654
Mailing address
3116 ROBINHOOD LN, SOUTH BEND, IN 46614-2114
(574) 286-1613

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01040392A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100326520A
IN
Enumeration date
07/22/2005
Last updated
01/12/2021
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