Provider Demographics
NPI:1669464434
Name:SINGER, RICHARD M (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:SINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11012 E 13 MILE RD STE 112
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2546
Mailing Address - Country:US
Mailing Address - Phone:586-582-0864
Mailing Address - Fax:586-582-0964
Practice Address - Street 1:22731 NEWMAN ST
Practice Address - Street 2:SUITE 100A
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2034
Practice Address - Country:US
Practice Address - Phone:313-561-4910
Practice Address - Fax:313-561-8561
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010410952086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIRS041095OtherBCBS PIN #
MI1564073Medicaid
MI1564073Medicaid
MIRS041095OtherBCBS PIN #