Individual
DR. NANCY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 W 66TH ST, SUITE 140, EDINA, MN 55435-2111
(925) 345-3000
Mailing address
16460 45TH AVE N, PLYMOUTH, MN 55446-2048
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24373
MN
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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