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Individual

MARK A RETTENMAIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1010 W LA VETA AVE, STE 775, ORANGE, CA 92868-4306
(949) 705-9015
Mailing address
1010 W LA VETA AVE STE 775, ORANGE, CA 92868-4306
(714) 749-2330
(949) 831-1624

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
A32692
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A326920
CA
Enumeration date
06/01/2006
Last updated
12/20/2017
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