| Paul T Richardson Md Llc | |
|
6401 France Ave S Edina MN 55435-2104 | |
| (952) 345-1303 | |
| Not Available |
| Full Name | Paul T Richardson Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6401 France Ave S, Edina, Minnesota |
| Authorized Official Name and Position | Paul Richardson (OWNER) |
| Authorized Official Contact | 9523451303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul T Richardson Md Llc 3727 Fairway Pt Woodbury MN 55125-5020 Ph: () - | Paul T Richardson Md Llc 6401 France Ave S Edina MN 55435-2104 Ph: (952) 345-1303 |
| NPI Number | 1306091921 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 11/24/2008 |
| Medicare PECOS PAC ID | 5991868564 |
|---|---|
| Medicare Enrollment ID | O20090107000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306091921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Paul T Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750369088 PECOS PAC ID: 8224085667 Enrollment ID: I20050407000202 |
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