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Individual
DR. LINDA D RETTGER
Active
Individual
DR. LINDA D RETTGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD020312E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000044064
HIGHMARK BC/BS PROVIDER #
PA
05
—
0006112770002
—
PA
01
—
010047693
PALMETTO GBA PROVIDER #
PA
01
—
217622
UPMC PROVIDER NUMBER
PA
01
—
MD020312E
MEDICAL LICENSE NUMBER
PA
Enumeration date
08/22/2005
Last updated
10/10/2012
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