Individual
MRS. MELISSA SNYDER RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1540 LAKE LANSING RD, STE 104, LANSING, MI 48912-3756
(517) 913-4010
(517) 913-4011
Mailing address
1540 LAKE LANSING RD, STE 104, LANSING, MI 48912-3756
(517) 913-4010
(517) 913-4011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101012149
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0253301925
BLUE CROSS BLUE SHIELD
MI
01
—
0M21440054
MEDICARE ADVANTAGE
MI
01
—
1020387
FIRST HEALTH
MI
01
—
200000002738
PHP
MI
05
—
3497274
—
MI
05
—
4911182
—
MI
01
—
P00456401
RAILROAD MEDICARE
MI
Enumeration date
11/07/2005
Last updated
10/08/2009
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