Philip M. Detrana in Sheboygan - Critical Care Medicine
Philip M. Detrana - NPI 1013992643
Philip M. Detrana is a Critical Care Medicine in Sheboygan, Wisconsin. Philip M. Detrana practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Philip M. Detrana is 1013992643. The last update date is 2021-11-30.
Philip M. Detrana's current location address is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. You can contact this provider via phone number 9204574461. The mailing address for Philip M. Detrana is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip M. Detrana |
|---|---|
| Address | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
| Phone Number | 9204574461 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013992643 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 2414 Kohler Memorial Dr |
|---|---|
| City | Sheboygan |
| State | Wisconsin (WI) |
| Post Code | 530813129 |
| Phone Number | 9204574461 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 36416 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32101500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Philip M. Detrana by the Centers for Medicare & Medicaid Services?
The Philip M. Detrana has been issued the NPI (National Provider Identifier) 1013992643 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Philip M. Detrana is physically located?
The Philip M. Detrana is physically situated at the following address: 2414 Kohler Memorial Dr, Sheboygan, WI, 530813129.
What is the Philip M. Detrana's area of specialization and corresponding taxonomy classification?
The Philip M. Detrana's specialty field is Critical Care Medicine, and it falls under the taxonomy code 207Rc0200X, which categorizes healthcare providers based on their specialties.
When did Philip M. Detrana receive its 1013992643 assignment?
The Philip M. Detrana was assigned its 1013992643 on 2005-12-06, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Philip M. Detrana, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Philip M. Detrana, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-30.