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1730552118
CHASE NEITZKE
BALTIMORE, MD
NPI
1730552118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0005967)
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
-- CHASE NEITZKE PA-C
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 410-550-0453
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Mailing Address
-- CHASE NEITZKE PA-C
601 S PACA ST APARTMENT 1
BALTIMORE, MD 21230-2432
Phone number: 410-570-3632
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