Provider Demographics
NPI:1003960428
Name:RYTWINSKI, DOROTA SYLWIA (MD)
Entity Type:Individual
Prefix:DR
First Name:DOROTA
Middle Name:SYLWIA
Last Name:RYTWINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 S TAFT AVE
Mailing Address - Street 2:CENTER FOR MENTAL HEALTH AND WELL-BEING
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-3200
Mailing Address - Country:US
Mailing Address - Phone:419-334-6619
Mailing Address - Fax:419-334-6663
Practice Address - Street 1:715 S TAFT AVE
Practice Address - Street 2:CENTER FOR MENTAL HEALTH AND WELL-BEING
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-3200
Practice Address - Country:US
Practice Address - Phone:419-334-6619
Practice Address - Fax:419-334-6663
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0830922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2414300Medicaid
OH2414300Medicaid
OHH93488Medicare UPIN