| Doctor Name: | DR. EMMETT LEE TETZ |
| NPI Number: | 1457332777 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G11748 |
| Business Practice Address: | 6 Woodland Rd 201 Saint Helena, CA - 945749501 |
| Business Phone Number: | 7079635239 |
| Business Fax Number: | 7079630752 |
| Mailing Address: | Po Box 340, DEER PARK |
| State: | CA |
| Postal Code: | 945760340 |
| Phone Number: | 7079635239 |
| Fax Number: | 7079630752 |
| NPI Enumeration Date: | 11/14/2005 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | G11748 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |