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Individual
DR. KARL KIETZKE
Active
Individual
DR. KARL KIETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L3361
TX
207Q00000X
Family Medicine Physician
Primary
L3361
TX
Other
Enumeration date
01/18/2006
Last updated
11/24/2007
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