Todd Douglas Deetsch

NPI 1053605394 - Contractor - 171W00000X

NPI Details
NPI 1053605394
Gender Male
Enumeration Date 06/03/2011
Last Updated 06/03/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
208 LINNEY AVE
LOUISVILLE KY, 40243-1014, US
Phone (502) 693-1037
Fax (502) 245-2490
Business Location
208 LINNEY AVE
LOUISVILLE KY, 40243-1014, US
Phone (502) 693-1037
Fax (502) 245-2490
Toxanomy
Taxonomy Code 171W00000X
License State
License Number
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According to our database, Mr. Todd Douglas Deetsch NPI is 1053605394, taxonomy code is 171W00000X Todd Douglas Deetsch physically located at 208 Linney Ave, Louisville KY, 40243-1014. NPI Number Todd Douglas Deetsch has the Individual type.

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1053605394 NPI number is provided on an as is basis without warranty of any kind. 1053605394 is maintained by the National Plan & Provider Enumeration System. The contents of Todd Douglas Deetsch are for informational purposes only.