Individual
DR. RICHARD J ASHACK
Active
Individual
DR. RICHARD J ASHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
RA055555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070014420
RAILROAD MEDICARE
MI
01
—
0704102581
BLUE SHIELD
MI
01
—
RA055555
STATE LICENSE
MI
Enumeration date
10/21/2005
Last updated
07/23/2020
Update your record
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