PEGGY RICHARDSON-MOORE MD PC
Osteopathic Medicine at Glendale St, Detroit, MI

License number
Michigan 4301041722
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. PEGGY RICHARDSON
Title: MD
Phone: (313) 564-8930
Address
Address
211 Glendale St STE 200, Detroit, MI 48203
National Provider ID: 1194081349
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEGGY RICHARDSON-MOORE, M.D., PC

Detroit, MI 48214

Status:
Inactive
Registration:
Apr 26, 1983
State ID:
132051
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-1994
Agent:
Peggy Richardson Moore

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