Individual
JORDAN SCOTT RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
44201 DEQUINDRE ROAD, TROY, MI 48085
(248) 964-5111
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101028501
MI
Other
Enumeration date
06/08/2022
Last updated
08/04/2025
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