Provider Demographics
NPI:1891755765
Name:TSCHETTER, RICHARD T (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:T
Last Name:TSCHETTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 S MONTANA ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2836
Mailing Address - Country:US
Mailing Address - Phone:406-723-4004
Mailing Address - Fax:406-782-4567
Practice Address - Street 1:832 S MONTANA ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2836
Practice Address - Country:US
Practice Address - Phone:406-723-4004
Practice Address - Fax:406-782-4567
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT33980207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1891755765Medicaid
SDD25654Medicare UPIN
MN961782500Medicaid
SD0256640001Medicare NSC
SD11163299Medicare PIN
MN189000466Medicare PIN
MN180041886Medicare PIN
SD0775OtherDAKOTACARE
IA0918367OtherIA MEDICAID
MN91129TSOtherBLUE SHIELD OF MN
NE46031185613Medicaid
MN68A70TSOtherBCBC MN
ND18058Medicaid
IA0007048OtherWELLMARK OF IA
SD6300180Medicaid
SDS40102Medicare PIN
HP24819OtherHEALTHPARTNERS
MN123563OtherUCARE