Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deven J. Fetzek, PA-C

Individual provider Physician Assistant · NPI 1326290511

Deven J. Fetzek, PA-C is a Physician Assistant in Prince Frederick, Maryland. Qualified in 2006, 20 years ago. Practices with Anne Arundel Dermatology PA, a 127-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
20
Licensed in
MD
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

995 Prince Frederick Blvd Ste 204
Prince Frederick, MD 20678-5101
Phone: (443) 351-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C03348 (MD)

Record details

NPI number1326290511
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 21, 2008
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Anne Arundel Dermatology Pa — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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