Individual
KURT RETTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 ERIE MAIN ST, TONOPAH, NV 89049-0391
(775) 482-6233
Mailing address
PO BOX 592, MEDINA, ND 58467
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0253
NV
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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