MEDICARE: DR. RICHARD J HORBAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	4301039488	MI
2	207K00000X	Allergy & Immunology Physician	4301039488	MI
3	207R00000X	Internal Medicine Physician	4301039488	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10138	OTHER	MI	GREAT LAKES HEALTH PLAN
2	1100900191	OTHER	MI	HEALTH PLUS OF MI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0300900191	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1548244619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD J HORBAL M.D.

Provider Business Mailing Address
First Line	:	555 W WACKERLY ST
Second Line	:	SUITE 2675
City	:	MIDLAND
State	:	MI
Zip	:	48640-4722
Country	:	US
Telephone Number	:	989-631-1010
Fax Number	:

Provider Business Practice Location Address
First Line	:	414 N TUSCOLA RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708
Country	:	US
Telephone Number	:	989-895-5007
Fax Number	:	989-895-8032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	04/10/2026

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