Individual
DR. EMMETT LEE TETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 WOODLAND RD, 201, SAINT HELENA, CA 94574-9501
(707) 963-5239
(707) 963-0752
Mailing address
PO BOX 340, DEER PARK, CA 94576-0340
(707) 963-5239
(707) 963-0752
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G11748
CA
2086S0129X
Vascular Surgery Physician
G11748
CA
208C00000X
Colon & Rectal Surgery Physician
G11748
CA
Other
Enumeration date
11/14/2005
Last updated
04/23/2014
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