Individual provider · Type 1 NPI

Eric James Dettloff, PA-C

Physician Assistant · Muskegon, MI

NPI number 1679016638 Active

Practice location

1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833

Fax (231) 733-5212

Other practice locations

  • 4100 Lake Dr SE Ste 300, Grand Rapids, MI 49546-8292 · (616) 267-8860

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601008640 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679016638

Eric James Dettloff, PA-C's National Provider Identifier is 1679016638, issued on Nov 23, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Muskegon, MI. The record was last updated on Aug 9, 2024.