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Individual

PATRICK LEON DANTZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7671 QUARTERFIELD RD, SUITE 401, GLEN BURNIE, MD 21061-4998
(443) 270-6760
(410) 760-4830
Mailing address
7671 QUARTERFIELD RD, SUITE 401, GLEN BURNIE, MD 21061-4998
(443) 270-6760
(410) 760-4830

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0079276
MD
208000000X
Pediatrics Physician
D0079276
MD

Other

Enumeration date
05/12/2011
Last updated
07/19/2015
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