Andy Deetjeen
NPI #1053038976 in Lauderhill, Florida
Provider Information
- NPI Number
- 1053038976
- Entity Type
- Individual
- Name
- Andy Deetjeen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 21, 2022
- Last Updated
- Feb 3, 2023
Practice Location
- Address
- 2451 NW 41ST AVE APT 408
- City
- Lauderhill
- State
- Florida
- ZIP Code
- 33313-3769
- Phone
- (646) 830-7804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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