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Individual

KEVIN E RITZENTHALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2114 SCHOFIELD AVE, SCHOFIELD, WI 54476-2365
(715) 355-4224
Mailing address
2114 SCHOFIELD AVE, SCHOFIELD, WI 54476-2365
(715) 355-4224

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3727-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350051983
RAILROAD MEDICARE
WI
05
38929800
WI
01
68360
SECURITY HEALTH PLAN
Enumeration date
09/16/2006
Last updated
06/24/2009
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