Donald Albert Deshetler JR. MD

NPI 1073510558 - Family Medicine - 207Q00000X

NPI Details
NPI 1073510558
Gender Male
Enumeration Date 06/30/2005
Last Updated 02/24/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
2000 NEWARK GRANVILLE RD
SUITE 100
GRANVILLE OH, 43023-9135, US
Phone (740) 587-0087
Fax (740) 587-0084
Business Location
2000 NEWARK GRANVILLE RD
SUITE 100
GRANVILLE OH, 43023-9135, US
Phone (740) 587-0087
Fax (740) 587-0084
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 35076727D
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According to our database, Dr. Donald Albert Deshetler JR. MD NPI is 1073510558, taxonomy code is 207Q00000X and license number is 35076727D, license state is located at Ohio. Donald Albert Deshetler JR. MD physically located at 2000 Newark Granville Rd, Granville OH, 43023-9135. NPI Number Donald Albert Deshetler JR. MD has the Individual type.

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1073510558 NPI number is provided on an as is basis without warranty of any kind. 1073510558 is maintained by the National Plan & Provider Enumeration System. The contents of Donald Albert Deshetler JR. MD are for informational purposes only.