Individual
DR. LOUIS RICHARD STANDIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1234 NAPIER AVE, LAKELAND HEALTH-GME, SAINT JOSEPH, MI 49085-2112
(269) 982-4941
Mailing address
1316 W DETROIT ST, NEW BUFFALO, MI 49117-1636
(269) 720-7419
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101024560
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
07/18/2019
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