Provider Demographics
NPI:1558574947
Name:FRITZ, HELMUTH FRANZ (MD, RVT)
Entity Type:Individual
Prefix:DR
First Name:HELMUTH
Middle Name:FRANZ
Last Name:FRITZ
Suffix:
Gender:M
Credentials:MD, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 OLD SAXTON PL
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-9643
Mailing Address - Country:US
Mailing Address - Phone:909-553-2650
Mailing Address - Fax:
Practice Address - Street 1:176 OLD SAXTON PL
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-9643
Practice Address - Country:US
Practice Address - Phone:909-553-2650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00016111207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G411150Medicare ID - Type Unspecified
CAA16290Medicare UPIN