Individual
PATRICK L RETTERATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1512 4TH ST NE, WATERTOWN, SD 57201-6824
(605) 884-0100
Mailing address
1201 MICKELSON DR STE 2, WATERTOWN, SD 57201-7253
(605) 882-0432
(605) 882-0978
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2779
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014226300
—
MN
01
—
4995672
BCBS
SD
05
—
5700374
—
SD
05
—
5700375
—
SD
Enumeration date
06/20/2006
Last updated
01/27/2010
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