Individual
DEVEN J. FETZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
995 PRINCE FREDERICK BLVD STE 204, PRINCE FREDERICK, MD 20678-5101
(443) 351-3376
Mailing address
995 PRINCE FREDERICK BLVD STE 204, PRINCE FREDERICK, MD 20678-5101
(443) 351-3376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03348
MD
Other
Enumeration date
10/21/2008
Last updated
10/07/2020
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