Individual
DR. DAVID CHARLES RETTEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S PROSPECT ST, ARNOLD 6, BURLINGTON, VT 05401-3456
(802) 847-4560
(802) 847-8747
Mailing address
17 BRICKYARD RD UNIT 6, ESSEX JUNCTION, VT 05452-4343
(802) 878-4120
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02363133
—
NY
05
—
1008962
—
VT
Enumeration date
08/11/2006
Last updated
07/08/2007
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