Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 36681 | MO |
N | 111NI0900X | Internist | 36681 | MO |
N | 207R00000X | Internist | 46612 | MN |
N | 111NI0900X | Internist | 46612 | MN |
N | 207RA0401X | Internist - Addiction Medicine | 36681 | MO |
N | 207RA0401X | Internist - Addiction Medicine | 46681 | MN |
NPI | 1265455729 |
---|---|
Provider Name | Dr. Joseph Stanley Richmond |
First Address | New Brighton, MN 55112-1786 |
Second Address | New Brighton, MN 55112-1786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 23/01/2012 |