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Individual

DR. RICHARD L LONDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-5219
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26420
WI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
26420
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
26420
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30720900
WI
Enumeration date
08/22/2006
Last updated
05/14/2025
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