Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 01029311A | IN |
NPI | 1033147558 |
---|---|
Provider Name | Dr. Richard A Hirschler |
First Address | Stevensville, MI 49127 |
Second Address | Stevensville, MI 49127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 21/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4758016 | (05) | MI |
4886571 | (05) | MI |
B28912 | (02) | MI |
BLUE CROSS | 101110742 (01) | MI |
CIGNA | 4840301 (01) | |
PHP | 01-31419 (01) | MI |