Individual provider · Type 1 NPI

Edward Gerard Detar, MD

Surgery Physician · Coeur D Alene, ID

NPI number 1194706465 Active

Practice location

700 W Ironwood Dr Ste 341
Coeur D Alene, ID 83814-4404

Call (208) 625-5200 Map

Fax (208) 625-5201

Mailing address

700 W Ironwood Dr, Suite 304
Coeur D Alene, ID 83814-2656

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XM-9855 (ID)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1194706465

Edward Gerard Detar, MD's National Provider Identifier is 1194706465, issued on Nov 14, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Apr 14, 2025.