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Individual

DR. MICHAEL S RICHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1710 NORTH AVE, SPEARFISH, SD 57783
(605) 642-8480
(605) 642-8185
Mailing address
1710 NORTH AVE, SPEARFISH, SD 57783
(605) 642-8480
(605) 642-8185

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
450
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0076521
BLUE CROSS
SD
01
120802100
EQUALITY CARE
WY
05
9201880
SD
Enumeration date
08/30/2006
Last updated
06/29/2009
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