MEDICARE: DR. RICHARD STONE 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	208D00000X	General Practice Physician	19728	WI

General Provider Information

NPI Number	:	1942433537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD STONE M.D.

Provider Business Mailing Address
First Line	:	1965 W FAIRY CHASM RD
Second Line	:
City	:	RIVER HILLS
State	:	WI
Zip	:	53217-1532
Country	:	US
Telephone Number	:	414-351-4395
Fax Number	:

Provider Business Practice Location Address
First Line	:	1965 W FAIRY CHASM RD
Second Line	:
City	:	RIVER HILLS
State	:	WI
Zip	:	53217-1532
Country	:	US
Telephone Number	:	414-351-4395
Fax Number	:

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

Provider Enumeration Date	:	08/28/2009
Last Update Date	:	08/28/2009

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Directions to “ DR. RICHARD STONE M.D.” Practice Location

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