Peggy A Richardson


Address: 211 Glendale St, Suite 200, Highland Park, MI 48203-3231

Peggy A Richardson (NPI# 1013099548, PAC ID# 6103088794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1013099548
PAC ID by PECOS 6103088794
Professional Enrollment ID I20120426000590
Full Name Peggy A Richardson
Address 211 Glendale St
Suite 200
Highland Park
MI 48203-3231
Gender F
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230130 BEAUMONT HOSPITAL, ROYAL OAK

Other Locations

Address Phone Organization
211 Glendale St, Suite 200, Highland Park, MI 48203-3231

Organization Information

Office Location

Street Address 211 GLENDALE ST
SUITE 200
City HIGHLAND PARK
State MI
Zip 48203-3231

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Competitor

Search similar physicians

City HIGHLAND PARK
Zip Code 48203
Specialty INTERNAL MEDICINE
City + Specialty HIGHLAND PARK + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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