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Individual

GARY MICHAEL RITTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2625 PARADE ST, ERIE, PA 16504-2809
(814) 452-6383
(814) 452-1427
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2507
(814) 868-2522

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD444258
PA
207VX0000X
Obstetrics Physician
MD444258
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030642100004
PA
01
160440052
BLUE CROSS BLUE SHIELD
MI
05
3025372
OH
05
3225550
MI
01
383265735
TAX ID
MI
Enumeration date
12/15/2006
Last updated
02/16/2026
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