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Archibald W. Dettman
General Practice Physician in Corunna, Michigan
NPI 1184642886

Archibald W. Dettman is a General Practice Physician based in Corunna, MI. Archibald W. Dettman practices in Corunna, MI. The NPI Number for Archibald W. Dettman is 1184642886 and holds a License No. 5101006898 (Michigan).

The current practice location address for Archibald W. Dettman is 115 N Shiawassee St, Corunna, MI and can be reached out via phone at 989-743-3415 and via fax at 989-743-6180.

Location: 115 N Shiawassee St, Corunna, MI, 48817-1435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184642886
Provider Name
Archibald W. Dettman
Credential
Provider Entity Type
Organization
Address
115 N Shiawassee St, Corunna, MI, 48817-1435
Phone Number
989-743-3415
Fax Number
989-743-6180
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CH2727 01 MI TRAVELERS MC GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
115 N Shiawassee St
City
Corunna
State
Michigan
Zip
48817-1435
Phone Number
989-743-3415
Fax Number
989-743-6180
person
Provider Business Mailing Address Details
Address
115 N Shiawassee St
City
Corunna
State
Michigan
Zip
48817-1435
Phone Number
989-743-3415
Fax Number
989-743-6180
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
5101006898 (Michigan)
Definition
Definition to come...
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