Individual
MICHAEL RETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5101 E PASADENA AVE, PHOENIX, AZ 85018-1914
(602) 931-7700
Mailing address
1139 BURDETTE ST, NEW ORLEANS, LA 70118-3972
(602) 931-7700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
04/12/2016
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