Individual
RICHARD H PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
608 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-6801
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
356
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080110153
RAILROAD MEDICARE
WI
05
—
42930700
—
WI
Enumeration date
11/15/2005
Last updated
10/26/2020
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