Individual
DR. ROBERT RIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 22ND AVE, BROOKINGS, SD 57006-2497
(605) 697-9500
(605) 697-6939
Mailing address
400 22ND AVE, BROOKINGS, SD 57006-2497
(605) 697-9500
(605) 697-6939
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
1373
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6520143
—
SD
05
—
854267800
—
SD
Enumeration date
05/04/2006
Last updated
01/22/2013
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