David A Dettmann DO

NPI 1073538427 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1073538427
Gender Male
Enumeration Date 07/13/2006
Last Updated 12/10/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
100 CAMPUS AVE
SUITE 208
LEWISTON ME, 04240-6040, US
Phone (207) 777-8974
Fax (207) 777-8946
Business Location
PO BOX 4140
BOSTON MA, 02241-4140, US
Phone (207) 777-4111
Fax (207) 783-6660
Toxanomy
Taxonomy Code 2084P0800X
License State Maine
License Number 1658
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According to our database, Dr. David A Dettmann DO NPI is 1073538427, taxonomy code is 2084P0800X and license number is 1658, license state is located at Maine. David A Dettmann DO physically located at 100 Campus Ave, Lewiston ME, 04240-6040. NPI Number David A Dettmann DO has the Individual type.

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1073538427 NPI number is provided on an as is basis without warranty of any kind. 1073538427 is maintained by the National Plan & Provider Enumeration System. The contents of David A Dettmann DO are for informational purposes only.