Individual
DANIELLE N. RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 530, LANSING, MI 48912-1800
(517) 364-5880
(517) 364-5887
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005280
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-5-33-1326-0
BCBS INDIVIDUAL PIN
MI
Enumeration date
05/29/2008
Last updated
11/03/2008
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