MR. Todd Douglas Deetsch

NPI #1053605394 in Louisville, Kentucky

Provider Information

NPI Number
1053605394
Entity Type
Individual
Name
MR. Todd Douglas Deetsch
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor
Enumeration Date
Jun 3, 2011
Last Updated
Jun 3, 2011

Practice Location

Address
208 LINNEY AVE
ZIP Code
40243-1014
Phone
(502) 693-1037

Specialties & Taxonomy Codes

Specialty
Contractor

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