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Individual

DR. PATRIK CARL ZETTERLUND

Active
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Individual

DR. PATRIK CARL ZETTERLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A45195
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A451950
CA
01
110092029
RAILROAD MEDICARE CCC
CA
01
930055586
RAILROAD MEDICARE SVMH READING
CA
01
A00045195
BLUE CROSS
CA
Enumeration date
07/13/2005
Last updated
11/07/2013
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