Individual
THOMAS L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E 2ND ST, RICHLAND CENTER, WI 53581-1900
(608) 647-6161
(608) 647-3178
Mailing address
301 E 2ND ST, RICHLAND CENTER, WI 53581-1900
(608) 647-6161
(608) 647-3178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23207
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0852480001
DMERC
WI
05
—
30356100
—
WI
01
—
528514
UGS MEDICARE
WI
Enumeration date
08/04/2005
Last updated
01/15/2008
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