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Peggy Richardson-Moore MD PC

Internal Medicine in Highland Park, MI. Organization (NPI-2).

NPI number1194081349
StatusActive
Last updated in NPPESApr 12, 2012

Details

NPI
1194081349
Entity type
Organization (NPI-2)
Legal business name
Peggy Richardson-Moore MD PC
Organization subpart
No
Enumeration date
Apr 2, 2012
Last updated
Apr 12, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4301041722MIYes

Other names

  • Preferred Medical (Doing Business As)

Practice location

211 Glendale St Ste 200
Highland Park, MI 48203-3231

Phone 313-564-8930 · Fax 313-564-8933

Mailing address

211 Glendale St Ste 200
Highland Park, MI 48203-3231

Phone 313-564-8930 · Fax 313-564-8933

Authorized official

Peggy Richardson
MD
3135648930

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