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Individual

RENEE M RITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
13195 WEAVER LAKE ROAD, MAPLE GROVE, MN 55369
(763) 599-0153
(763) 420-6957
Mailing address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369-9410
(763) 420-5112
(763) 420-6957

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2414
MN
152W00000X
Optometrist
2614
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U47843
WOODBURY
MN
Enumeration date
01/09/2007
Last updated
05/05/2015
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