Individual
DR. CHRISTINA A RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3988 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 935-0860
(231) 935-0860
Mailing address
3988 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 935-0860
(231) 935-0860
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101013386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2553310924
BCBS INDIVIDUAL PIN
MI
05
—
5194195
—
MI
Enumeration date
09/20/2006
Last updated
03/07/2013
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