Robert W Detlefsen ARNP

NPI 1134206873 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1134206873
Gender Male
Enumeration Date 11/01/2006
Last Updated 02/06/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
5060 COUNTY ROAD 306
FULTON MO, 65251-5436, US
Phone (573) 581-1196
Fax (573) 581-1981
Business Location
5060 COUNTY ROAD 306
FULTON MO, 65251-5436, US
Phone (573) 581-1196
Fax (573) 581-1981
Toxanomy
Taxonomy Code 363LP0808X
License State Iowa
License Number G115825
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According to our database, Robert W Detlefsen ARNP NPI is 1134206873, taxonomy code is 363LP0808X and license number is G115825, license state is located at Iowa. Robert W Detlefsen ARNP physically located at 5060 County Road 306, Fulton MO, 65251-5436. NPI Number Robert W Detlefsen ARNP has the Individual type.

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1134206873 NPI number is provided on an as is basis without warranty of any kind. 1134206873 is maintained by the National Plan & Provider Enumeration System. The contents of Robert W Detlefsen ARNP are for informational purposes only.