Individual
DR. PETER THEODORE HETZLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHS
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 502-2037
(410) 955-0737
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D0103498
MD
208D00000X
General Practice Physician
0101281009
VA
Other
Enumeration date
03/20/2019
Last updated
06/18/2025
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