Individual
RICHARD ALAN FEDERSPIEL
Active
Individual
RICHARD ALAN FEDERSPIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01026230
IN
207N00000X
Dermatology Physician
Primary
01026230A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085566
BLUE CROSS BLUE SHIELD
IN
01
—
070015351
MEDICARE RAILROAD
IN
Enumeration date
11/14/2006
Last updated
07/05/2023
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