Individual
DR. PAUL M. ETTLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7920 MCDONOGH RD, SUITE 101, OWINGS MILLS, MD 21117-5249
(410) 356-9939
(410) 356-9987
Mailing address
7920 MCDONOGH ROAD, SUITE 101, OWINGS MILLS, MD 21117-5249
(410) 356-9939
(410) 356-9987
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01788
MD
111N00000X
Chiropractor
Primary
S01788
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216603800
—
MD
Enumeration date
05/24/2005
Last updated
03/01/2012
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