Archibald W. Dettman in Corunna - General Practice
Archibald W. Dettman - NPI 1184642886
Archibald W. Dettman is a General Practice in Corunna, Michigan. Archibald W. Dettman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Archibald W. Dettman is 1184642886. The last update date is 2008-06-16.
Archibald W. Dettman's current location address is 115 N Shiawassee St, Corunna, Michigan. You can contact this provider via phone number 9897433415 and fax number 9897436180. The mailing address for Archibald W. Dettman is 115 N Shiawassee St, Corunna, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Archibald W. Dettman |
|---|---|
| Address | 115 N Shiawassee St, Corunna, Michigan |
| Phone Number | 9897433415 |
| Fax Number | 9897436180 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Dettman W. Archibald |
| Credentials | D.O. |
| Telephone Number | 9897433415 |
NPI Number Detail
| NPI Number | 1184642886 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 115 N Shiawassee St |
|---|---|
| City | Corunna |
| State | Michigan (MI) |
| Post Code | 488171435 |
| Phone Number | 9897433415 |
| Fax Number | 9897436180 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 5101006898 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CH2727 | MI | TRAVELERS MC GROUP NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Archibald W. Dettman?
The Archibald W. Dettman has been issued the NPI (National Provider Identifier) 1184642886 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Archibald W. Dettman is geographically located?
The Archibald W. Dettman is physically situated at the following location: 115 N Shiawassee St, Corunna, MI, 488171435.
What is Archibald W. Dettman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Archibald W. Dettman is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
When did Archibald W. Dettman receive its 1184642886 assignment?
The Archibald W. Dettman was assigned its 1184642886 on 2006-07-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Archibald W. Dettman last refreshed?
The information related to the Archibald W. Dettman, including its address, specialty, and other relevant details, was last updated on 2008-06-16.
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