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Individual

MR. KIRK R RITCHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5409 EVERYBODYS ROAD, FOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER, CRANDON, WI 54520
(715) 478-4300
(715) 478-4490
Mailing address
PO BOX 396, 5409 EVERYBODYS ROAD FOREST COUNTY POTAWATOMI HEALTH &, CRANDON, WI 54520
(715) 478-4300
(715) 478-4490

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4113015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33704300
WI
01
74434
SECURITY HEALTH PLAN
WI
Enumeration date
08/04/2006
Last updated
07/08/2007
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