IndividualActive
Carl Deetz, M.D./PH.D.
NPI 1629232491 · Anatomic Pathology & Clinical Pathology Physician · Saint Louis, MO
Provider details
- NPI number
- 1629232491
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D./PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 208017358 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11133 Dunn Rd
Department of Pathology
Saint Louis, MO 63136-6163
Phone: (314) 653-5630
Fax: (314) 653-4099
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 144333
Orlando, FL 32814-4333
Registry dates
- Enumerated
- 2008-07-11
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.