Individual
MICHAEL TODD RETHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5901 MONCLOVA RD, MAUMEE, OH 43537-1841
(419) 887-6754
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5327
(419) 479-5593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34-008582
OH
208M00000X
Hospitalist Physician
Primary
34008582
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2639050
—
OH
Enumeration date
06/16/2006
Last updated
07/21/2022
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