Individual
MARK H RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8355 HIGHLAND RD #106, WHITE LK, MI 48386
(248) 666-6005
(248) 666-6669
Mailing address
8355 HIGHLAND RD, WHITE LAKE, MI 48386-4618
(248) 666-6005
(248) 666-6669
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MR053494
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080186543
RR MEDICARE
—
01
—
080F32255
BCBS
—
01
—
0994309
HEALTH PLUS
—
01
—
383637981
TAX ID COMMERCIAL
—
01
—
4130452
AETHA
—
05
—
4408493
—
MI
Enumeration date
10/26/2006
Last updated
02/12/2016
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