Organization · Type 2 NPI
Archibald W. Dettman
General Practice Physician · Corunna, MI
NPI number
1184642886
Active
Practice location
115 N Shiawassee St
Corunna, MI 48817-1435
Fax (989) 743-6180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 5101006898 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1184642886
Archibald W. Dettman's National Provider Identifier is 1184642886, issued on Jul 18, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Corunna, MI. The record was last updated on Jun 16, 2008.