Healthcare Provider Details

I. General information

NPI: 1275686735
Provider Name (Legal Business Name): RICHARD L. SAHLHOFF, DO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 HOLTON RD
TWIN LAKE MI
49457-8528
US

IV. Provider business mailing address

6110 HOLTON RD PO BOX 69
TWIN LAKE MI
49457-8528
US

V. Phone/Fax

Practice location:
  • Phone: 231-828-6848
  • Fax: 231-828-4763
Mailing address:
  • Phone: 231-828-6848
  • Fax: 231-828-4763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101006248
License Number StateMI

VIII. Authorized Official

Name: CINDY CURRAN
Title or Position: PROVIDER RELATIONS
Credential:
Phone: 231-672-3032