Individual
MATTHEW SCOTT RETTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0550
(989) 348-0473
Mailing address
3781 MOMENTUM PLACE, CHICAGO, IL 60689-5337
(231) 935-6080
(231) 935-6081
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301064367
MI
Other
Enumeration date
10/25/2005
Last updated
12/29/2020
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