Individual
MR. RICHARD STEVEN GAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANCC, FNP
Contact information
Practice address
125 N WASHINGTON ST, BOX 114, PRESCOTT, MI 48756-5117
(989) 873-3352
Mailing address
125 N WASHINGTON ST, PO BOX 114, PRESCOTT, MI 48756-5117
(989) 873-3352
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4704201154
MI
363LF0000X
Family Nurse Practitioner
Primary
4704201154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008774320
BCBS
MI
01
—
MI1172
MEDICARE GROUP NUMBER
MI
Enumeration date
12/19/2006
Last updated
08/25/2010
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