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MR. CHRISTOPHER M RICKETTS MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1568464402

Individual Registrant:
MR. CHRISTOPHER M RICKETTS MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
530 N MICHIGAN ST  ARGOS, IN 46501-1134 US
Tel: 574-892-5131  Fax: 574-892-6349

Contact information for business:
1400 E 9TH ST  ROCHESTER, IN 46975-8931 US
Tel: 574-224-1044  Fax: 574-224-1103

Registration Information:
NPI: 1568464402
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IN01051336

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
200364510AIN05




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