Individual
DR. JOHN F. RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
908 E MAIN ST, WINNECONNE, WI 54986-9782
(920) 582-0688
(920) 582-0692
Mailing address
908 E MAIN ST, P.O. BOX 369, WINNECONNE, WI 54986-9782
(920) 582-0688
(920) 582-0692
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2790
WI
Other
Enumeration date
03/26/2007
Last updated
01/18/2008
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