Individual
WILLIAM M DUTCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6700 KIRKVILLE RD, STE 202, EAST SYRACUSE, NY 13057-9305
(315) 701-2929
(315) 701-1473
Mailing address
6700 KIRKVILLE RD, SUITE C-202, EAST SYRACUSE, NY 13057-9305
(315) 701-2929
(315) 701-1473
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005690
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02181744
—
NY
Enumeration date
08/18/2005
Last updated
04/14/2015
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