Individual
MR. NOAH DAVID RETKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 CENTURY AVE SE, HUTCHINSON, MN 55350-3108
(320) 587-2020
(320) 484-4686
Mailing address
3 CENTURY AVE SE, HUTCHINSON, MN 55350-3108
(320) 587-2020
(320) 484-4686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59791
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063822450
NPI
—
Enumeration date
05/06/2014
Last updated
05/07/2017
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