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Individual

MR. HOWARD L RETTMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7222
Mailing address
W2221 LINSMEYER RD, SEYMOUR, WI 54165-9133
(920) 833-2646

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
495-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42918000
WI
01
9700090004
MEDICARE RAILROAD
WI
Enumeration date
12/06/2005
Last updated
03/09/2012
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