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Individual

MARK J RITTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10767 ILLINOIS ST STE 3000, CARMEL, IN 46032-8972
(317) 817-1200
(317) 817-1220
Mailing address
10767 ILLINOIS ST STE 3000, CARMEL, IN 46032-8972
(317) 817-1200
(317) 817-1220

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01062121A
IN
207X00000X
Orthopaedic Surgery Physician
A91405
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
01062121A
IN
207XX0801X
Orthopaedic Trauma Physician
01062121A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200887360
IN
Enumeration date
06/01/2005
Last updated
06/08/2023
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