Individual
DR. PAUL RITENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
43 E 4TH ST, MANSFIELD, OH 44902-1303
(419) 571-5290
(419) 522-0998
Mailing address
43 E 4TH ST, MANSFIELD, OH 44902-1303
(419) 571-5290
(419) 522-0998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
34.006501
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075276
—
OH
Enumeration date
04/02/2006
Last updated
06/10/2015
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