Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 27647 | MN |
NPI | 1023013539 |
---|---|
Provider Name | Dr. Graham Douglas Ritts |
First Address | Duluth, MN 55805-2297 |
Second Address | Rochester, MN 55904-6756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 12/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D48918 | (02) | MN |