Individual
ERIC DEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
338 E. BANNOCK, BOISE, ID 83712-6207
(208) 336-0895
Mailing address
338 E. BANNOCK, BOISE, ID 83712
(208) 336-0895
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49967
MN
207Q00000X
Family Medicine Physician
T2006018415
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690017000
—
MN
Enumeration date
09/06/2006
Last updated
07/22/2011
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