Jacob Daniel Richardson
NPI #1770464620 in Grand Ledge, Michigan
Provider Information
- NPI Number
- 1770464620
- Entity Type
- Individual
- Name
- Jacob Daniel Richardson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 9, 2025
- Last Updated
- Sep 9, 2025
Practice Location
- Address
- 835 ARCADIAN DR APT 55
- City
- Grand Ledge
- State
- Michigan
- ZIP Code
- 48837-8772
- Phone
- (517) 930-6832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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