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1437211307

NPI Code Detail

MEDICARE: GARY MICHAEL RITTEN MD

MEDICARE: GARY MICHAEL RITTEN 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	207VX0000X	Obstetrics Physician	MD444258	PA
2	207VG0400X	Gynecology Physician	MD444258	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	160440052	OTHER	MI	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	383265735	OTHER	MI	TAX ID

General Provider Information

NPI Number	:	1437211307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY MICHAEL RITTEN MD

Provider Business Mailing Address
First Line	:	1 LECOM PL
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505-2571
Country	:	US
Telephone Number	:	814-868-2507
Fax Number	:	814-868-2522

Provider Business Practice Location Address
First Line	:	2625 PARADE ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16504-2809
Country	:	US
Telephone Number	:	814-452-6383
Fax Number	:	814-452-1427

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

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	02/16/2026

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Directions to “ GARY MICHAEL RITTEN MD” Practice Location

Language	Start Address	Practice Location

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