Philip M. Detrana M.D.

NPI 1013992643 - Internal Medicine - 207RC0200X

NPI Details
NPI 1013992643
Gender Male
Enumeration Date 12/06/2005
Last Updated 10/18/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2414 KOHLER MEMORIAL DR
SHEBOYGAN WI, 53081-3129, US
Phone (920) 457-4461
Fax
Business Location
2414 KOHLER MEMORIAL DR
SHEBOYGAN WI, 53081-3129, US
Phone (920) 457-4461
Fax
Toxanomy
Taxonomy Code 207RC0200X
License State Wisconsin
License Number 36416
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According to our database, Dr. Philip M. Detrana M.D. NPI is 1013992643, taxonomy code is 207RC0200X and license number is 36416, license state is located at Wisconsin. Philip M. Detrana M.D. physically located at 2414 Kohler Memorial Dr, Sheboygan WI, 53081-3129. NPI Number Philip M. Detrana M.D. has the Individual type.

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1013992643 NPI number is provided on an as is basis without warranty of any kind. 1013992643 is maintained by the National Plan & Provider Enumeration System. The contents of Philip M. Detrana M.D. are for informational purposes only.