Individual
KYLE RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3452 GENESYS PKWY, GRAND BLANC, MI 48439-7334
(810) 606-7550
Mailing address
3399 POLLOCK RD, GRAND BLANC, MI 48439-8393
(810) 603-0170
(810) 579-1705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004434
MI
Other
Enumeration date
09/01/2006
Last updated
04/26/2013
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