Provider Demographics
NPI:1528135050
Name:ARMSTRONG, RICHARD A (MD , FACS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MD , FACS
Other - Prefix:
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Mailing Address - Street 1:502 W HARRIE ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:MI
Mailing Address - Zip Code:49868-1209
Mailing Address - Country:US
Mailing Address - Phone:906-293-9233
Mailing Address - Fax:906-293-9285
Practice Address - Street 1:502 W HARRIE ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:MI
Practice Address - Zip Code:49868-1209
Practice Address - Country:US
Practice Address - Phone:906-293-9233
Practice Address - Fax:906-293-9285
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301047049208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4422910Medicaid
MI4422910Medicaid
MIB44065Medicare UPIN