MEDICARE: ARTHUR C RETTIG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	01027244A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200013395	OTHER	IN	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588617641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR C RETTIG MD

Provider Business Mailing Address
First Line	:	201 PENNSYLVANIA PKWY
Second Line	:	#200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46280-2301
Country	:	US
Telephone Number	:	317-817-1200
Fax Number	:	317-208-1551

Provider Business Practice Location Address
First Line	:	201 PENNSYLVANIA PKWY
Second Line	:	#200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46280-2301
Country	:	US
Telephone Number	:	317-817-1200
Fax Number	:	317-208-1551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/25/2008

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Directions to “ ARTHUR C RETTIG MD” Practice Location

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