Thomas Wayne Ritzenthaler OD

NPI 1962555409 - Optometrist - 152W00000X

NPI Details
NPI 1962555409
Gender Male
Enumeration Date 01/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
222 4TH AVE
BARABOO WI, 53913-2135, US
Phone (608) 356-3972
Fax (608) 356-6447
Business Location
222 4TH AVE
BARABOO WI, 53913-2135, US
Phone (608) 356-3972
Fax (608) 356-6447
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 1695
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According to our database, Thomas Wayne Ritzenthaler OD NPI is 1962555409, taxonomy code is 152W00000X and license number is 1695, license state is located at Wisconsin. Thomas Wayne Ritzenthaler OD physically located at 222 4th Ave, Baraboo WI, 53913-2135. NPI Number Thomas Wayne Ritzenthaler OD has the Individual type.

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1962555409 NPI number is provided on an as is basis without warranty of any kind. 1962555409 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Wayne Ritzenthaler OD are for informational purposes only.