Individual
TATUM KUTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
232 W 25TH ST # 3R, ERIE, PA 16544-2306
(814) 452-5530
(814) 452-5419
Mailing address
3864 ADLER PL STE 100, BETHLEHEM, PA 18017-8101
(610) 866-8331
(619) 866-8408
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS020899
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2016
Last updated
08/02/2021
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