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Individual

MR. DAVID RITZENTHALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
5717 OAKLAND DR, STE B, PORTAGE, MI 49024-1116
(269) 488-8360
(269) 488-8359
Mailing address
5717 OAKLAND DR, STE B, PORTAGE, MI 49024-1116
(269) 488-2176
(269) 343-9769

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
5501014270
MI
225100000X
Physical Therapist
Primary
5501014270
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
650C901910
BCBS
MI
Enumeration date
01/21/2009
Last updated
05/06/2016
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