Individual
MICHELLE R RITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
385 BERT KOUNS INDUSTRIAL LOOP, SUITE 500, SHREVEPORT, LA 71106-8158
(318) 686-9986
(318) 686-9505
Mailing address
PO BOX 6640, SHREVEPORT, LA 71136-6640
(318) 686-9986
(318) 686-9505
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
10060R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900H3213Z
BCBS OF LA
LA
Enumeration date
03/28/2006
Last updated
05/16/2011
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