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Contact Information

MICHAEL T RICHARDSON, MD
100 MAC LANE
AVERA MEDICAL GROUP PIERRE
PIERRE, SD57501
 Phone: 605-945-5255
 Fax: 605-945-5295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL T RICHARDSON · (Male)

NPI Number 1912971094
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 04/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 3850
  • SD License # SD3850
  • SD Medicaid 5600170
  • SD Medicaid 5600173
Hospital affiliation(s)
  • AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC - (Critical Access)
    300 W 5TH ST
    MILLER, SD 57362
  • ST MARY'S HOSPITAL - (Acute Care)
    801 E SIOUX
    PIERRE, SD 57501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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