Individual
THOMAS WAYNE RITZENTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
222 4TH AVE, BARABOO, WI 53913-2135
(608) 356-3972
(608) 356-6447
Mailing address
222 4TH AVE, BARABOO, WI 53913-2135
(608) 356-3972
(608) 356-6447
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1695
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38509800
—
WI
Enumeration date
01/19/2007
Last updated
07/08/2007
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