Individual
JOSHUA JOHN RETZ
Active
Individual
JOSHUA JOHN RETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
122217
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
28209517A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095200098
MEDICARE PTAN
IN
01
—
264431066
MEDICARE PTAN
IN
05
—
300014366
—
IN
Enumeration date
05/18/2018
Last updated
11/21/2023
Update your record
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