Daniel R Retzer in Davis Junction - Family Medicine
Daniel R Retzer - NPI 1063455079
Daniel R Retzer is a Family Medicine in Davis Junction, Illinois. Daniel R Retzer practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Daniel R Retzer is 1063455079. The last update date is 2021-02-19.
Daniel R Retzer's current location address is 5665 N. Junction Way, Davis Junction, Illinois. You can contact this provider via phone number 7796969200. The mailing address for Daniel R Retzer is 5665 N. Junction Way, Davis Junction, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel R Retzer |
|---|---|
| Address | 5665 N. Junction Way, Davis Junction, Illinois |
| Phone Number | 7796969200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063455079 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2021-02-19 |
Provider Mailing Address Detail
| Address | 5665 N. Junction Way |
|---|---|
| City | Davis Junction |
| State | Illinois (IL) |
| Post Code | 61020 |
| Phone Number | 7796969200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36069878 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36069878 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Daniel R Retzer by the Centers for Medicare & Medicaid Services?
The Daniel R Retzer has been assigned the NPI (National Provider Identifier) 1063455079. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Daniel R Retzer is located?
The Daniel R Retzer is situated at the following address: 5665 N. Junction Way, Davis Junction, IL, 61020.
What is Daniel R Retzer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Daniel R Retzer is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063455079 to Daniel R Retzer?
The Daniel R Retzer received its 1063455079 assignment from the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the information pertaining to Daniel R Retzer most recently updated or revised?
The details related to Daniel R Retzer, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-19.