Provider Demographics
NPI:1699712273
Name:RICHTER, ERICH OSCAR (MD)
Entity type:Individual
Prefix:
First Name:ERICH
Middle Name:OSCAR
Last Name:RICHTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ERICH
Other - Middle Name:OSCAR
Other - Last Name:RICHTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1447 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4727
Mailing Address - Country:US
Mailing Address - Phone:989-752-1177
Mailing Address - Fax:989-752-2923
Practice Address - Street 1:800 COOPER AVE STE 8
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5373
Practice Address - Country:US
Practice Address - Phone:989-752-1177
Practice Address - Fax:989-752-2923
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV25516207T00000X
MI4301116148207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI47544Medicare UPIN