Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 006366 | AZ |
N | 2080P0214X | Pediatric Pulmonologist | 34010322 | OH |
NPI | 1679743280 |
---|---|
Provider Name | Michelle Marie Ratkiewicz |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Phoenix, AZ 85016-7710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2008 |
Last Update Date | 27/03/2018 |