Individual
MR. TODD DOUGLAS DEETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 LINNEY AVE, LOUISVILLE, KY 40243-1014
(502) 693-1037
(502) 245-2490
Mailing address
208 LINNEY AVE, LOUISVILLE, KY 40243-1014
(502) 693-1037
(502) 245-2490
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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