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Individual

DR. SAMUEL D BEITLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
795 AQUAHART RD, #125, GLEN BURNIE, MD 21061-3962
(410) 768-0702
(410) 768-0649
Mailing address
795 AQUAHART RD, #125, GLEN BURNIE, MD 21061-3962
(410) 768-0702
(410) 768-0649

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
445
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
602368100
MD
Enumeration date
08/15/2005
Last updated
12/14/2010
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