Individual
DR. DANIEL R RETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5665 N. JUNCTION WAY, DAVIS JUNCTION, IL 61020
(779) 696-9200
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036069878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069878
—
IL
Enumeration date
06/14/2006
Last updated
02/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us