Individual
DR. RICHARD JOSEPH POUPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6112 MERLIN CT, MIDLAND, MI 48640-7358
(989) 839-9979
(989) 839-9553
Mailing address
6112 MERLIN CT, MIDLAND, MI 48640-7358
(989) 839-9979
(989) 839-9553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
RP016402
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
RP016402
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3487124
—
MI
05
—
3487133
—
MI
Enumeration date
07/08/2006
Last updated
10/10/2012
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