Organization Name: | RICHTER MD PC |
NPI Number: | 1730152133 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAEK H RICHTER (SECRETARY TREASURER) |
Mailing Address: | 8355 Highland Rd White Lake |
State: | MI US |
Postal Code: | 483864618 |
Phone Number: | 2486666005 |
Fax Number: | 2486666669 |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MR053494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |