Individual
DR. MICHAEL T RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 945-5255
(605) 945-5295
Mailing address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 945-5255
(605) 945-5295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3850
SD
207Q00000X
Family Medicine Physician
Primary
SD3850
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5600170
—
SD
05
—
5600173
—
SD
Enumeration date
02/15/2006
Last updated
04/13/2012
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