Individual
RICHARD PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3137
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3137
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5315064581
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301104812
MI
Other
Enumeration date
07/02/2014
Last updated
07/21/2022
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