Mary Jane Richter
Mary Jane Richter is a Qualified Audiologist in Detroit Lakes, Minnesota. Qualified in 2013, 13 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 13
- Licensed in
- MN
- In the registry since
- 2013
Practice location Address checks out
1245 Washington AveDetroit Lakes, MN 56501-3905
Phone: (218) 846-2000
Fax: (218) 846-2114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Audiologist (primary) | Taxonomy 231H00000X · Licence 9066 (MN) |
|---|
Record details
| NPI number | 1508109661 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 27, 2013 |
| Last updated in NPPES | January 7, 2020 |
| Certification date | January 7, 2020 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117-5074 |
Medicare enrollment
| Medicare specialty | QUALIFIED AUDIOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Sanford Medical Center Fargo — 1212 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |