Individual
MARC R. DURETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 CHIPPEWA DR, RHINELANDER, WI 54501-9503
(715) 365-5256
(715) 365-5258
Mailing address
1630 N. CHIPPEWA DR, RHINELANDER, WI 54501-9503
(715) 365-5256
(715) 365-5258
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
28830
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250006587
RAILROAD MEDICARE
WI
05
—
31572600
—
WI
Enumeration date
09/14/2006
Last updated
12/19/2012
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