National Provider Identifier Database

DAWN M GRETZ D P M P A
Customized Equipment


Contact Information

DAWN M GRETZ D P M P A
1405 MADISON PARK DR
GLEN BURNIE, MD21061-5627
Phone: 410-761-1666
Fax: 410-768-5809
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X

* Indicates primary specialty

NPI Profile & details for DAWN M GRETZ D P M P A

NPI Number 1013168566
Legal business name
LBN
DAWN M GRETZ D P M P A
Authorized official DAWN GRETZ - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 10/02/2008
Last updated 01/21/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MD Medicaid: 403210100

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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