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NPI Code Detail

MEDICARE: DR. GRAHAM DOUGLAS RITTS M.D.

MEDICARE: DR. GRAHAM DOUGLAS RITTS M.D.
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
1207X00000XOrthopaedic Surgery Physician27647MN

General Provider Information

NPI Number : 1023013539
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GRAHAM DOUGLAS RITTS M.D.
Provider Business Mailing Address
First Line : 1000 E 1ST ST
Second Line : STE 400
City : DULUTH
State : MN
Zip : 55805-2297
Country : US
Telephone Number : 218-722-5513
Fax Number : 218-722-6515
Provider Business Practice Location Address
First Line : 210 9TH ST SE
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-6756
Country : US
Telephone Number : 507-288-3443
Fax Number : 507-529-6616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 12/12/2013

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