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Individual

DR. PAUL M RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4665 DOUGLAS CIR NW, SUITE 101, CANTON, OH 44718-3673
(330) 499-5700
(330) 498-4229
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34005757
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000135922
ANTHEM
05
0306378
OH
01
050043982
MEDICARE RAILROAD
Enumeration date
05/13/2006
Last updated
10/18/2013
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