Individual
DR. ROBERT FETTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2311 HANOVER PIKE, HAMPSTEAD, MD 21074-1150
(410) 239-3750
Mailing address
423 LEPPO RD, WESTMINSTER, MD 21158-1614
(410) 346-0152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15888
MD
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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