Individual
DR. JOEL STUART RETHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O..
Contact information
Practice address
1103 VILLAGE SQUARE DR, STE 100, PERRYSBURG, OH 43551-1762
(419) 872-3213
(419) 872-9549
Mailing address
1103 VILLAGE SQUARE DR, STE 100, PERRYSBURG, OH 43551-1762
(419) 872-3213
(419) 872-9549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-00-2442
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366330
—
OH
Enumeration date
05/24/2005
Last updated
02/17/2015
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