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Jacob Ray Richter
Specialist in Detroit Lakes, Minnesota
NPI 1487301305

Jacob Ray Richter is a Specialist based in Moorhead, MN. Jacob Ray Richter practices in Detroit Lakes, MN. The NPI Number for Jacob Ray Richter is 1487301305 and holds a License No. (Minnesota).

The current practice location address for Jacob Ray Richter is 1041 Hawk St, Detroit Lakes, MN and can be reached out via phone at 218-844-6853 and via fax at 218-844-6854.

Location: 1041 Hawk St, Detroit Lakes, MN, 56560-5149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487301305
Provider Name
Jacob Ray Richter
Credential
Provider Entity Type
Individual
Gender
Male
Address
1041 Hawk St, Detroit Lakes, MN, 56560-5149
Phone Number
218-844-6853
Fax Number
218-844-6854
Provider Enumeration Date
03/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1041 Hawk St
City
Detroit Lakes
State
Minnesota
Zip
56501-6958
Phone Number
218-844-6853
Fax Number
218-844-6854
person
Provider Business Mailing Address Details
Address
1041 Hawk St
City
Detroit Lakes
State
Minnesota
Zip
56501-6958
Phone Number
218-844-6853
Fax Number
218-844-6854
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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