Individual
DR. CARL DEETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D./PH.D.
Contact information
Practice address
11133 DUNN RD, DEPARTMENT OF PATHOLOGY, SAINT LOUIS, MO 63136-6163
(314) 653-5630
(314) 653-4099
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
208017358
MO
Other
Enumeration date
07/11/2008
Last updated
03/18/2021
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