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NPI Code Detail

MEDICARE: MICHAEL RATZ M.D.

MEDICARE: MICHAEL RATZ 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
1208000000XPediatrics PhysicianMT182424PA

General Provider Information

NPI Number : 1922121136
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL RATZ M.D.
Provider Business Mailing Address
First Line : PO BOX 100199
Second Line : DEPT 325
City : COLUMBIA
State : SC
Zip : 29202-3199
Country : US
Telephone Number : 843-314-1314
Fax Number : 843-314-1307
Provider Business Practice Location Address
First Line : 64 BUSINESS CENTER DR
Second Line :
City : PAWLEYS ISLAND
State : SC
Zip : 29585-7963
Country : US
Telephone Number : 843-314-1314
Fax Number : 843-314-1307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 02/23/2010

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