| Doctor Name: | MR. MICHAEL JOHN RITMILLER |
| NPI Number: | 1063473601 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | C0003159 |
| Business Practice Address: | 21 Crossroads Dr Suite 200 Owings Mills, MD - 211175441 |
| Business Phone Number: | 4105811600 |
| Business Fax Number: | |
| Mailing Address: | 25 Crossroads Dr, Suite 306 OWINGS MILLS |
| State: | MD |
| Postal Code: | 211175421 |
| Phone Number: | 4105811600 |
| Fax Number: | |
| NPI Enumeration Date: | 03/31/2006 |
| NPI Last Update Date: | 05/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | C0003159 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |