Provider Demographics
NPI:1598791766
Name:RICHARDS, JAMES P (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:205 N STATE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HARRISVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48740-9255
Mailing Address - Country:US
Mailing Address - Phone:989-724-5655
Mailing Address - Fax:989-358-3730
Practice Address - Street 1:205 N STATE ST
Practice Address - Street 2:SUITE A
Practice Address - City:HARRISVILLE
Practice Address - State:MI
Practice Address - Zip Code:48740-9255
Practice Address - Country:US
Practice Address - Phone:989-724-5655
Practice Address - Fax:989-358-3730
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2012-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301049031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2888245Medicaid
D91258Medicare UPIN
Z16001005Medicare ID - Type Unspecified