Individual
MR. RICHARD GORDON PICHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1919 UNIVERSITY AVE W, STE TLC, SAINT PAUL, MN 55104-3453
(952) 926-6670
Mailing address
6015 PARK AVE, MINNEAPOLIS, MN 55417-3123
(952) 926-6670
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
288
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100466
CL CARE
—
01
—
2728653
MEDICA
—
05
—
3600355
—
MN
01
—
480610048
RR MCR
—
05
—
582525300
—
MN
Enumeration date
08/31/2006
Last updated
02/12/2014
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