Individual
KATHERINE NEITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(108) 372-0504
(866) 629-0091
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(108) 372-0504
(866) 629-0091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0091098
MD
207Q00000X
Family Medicine Physician
ML60850747
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
08/11/2021
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