person
Kirk Dettloff
Student in an Organized Health Care Education/Training Program in Ypsilanti, Michigan
NPI 1346852464

Kirk Dettloff is a Student in an Organized Health Care Education/Training Program based in Grosse Pointe Woods, MI. Kirk Dettloff practices in Ypsilanti, MI. The NPI Number for Kirk Dettloff is 1346852464 and holds a License No. (Michigan).

The current practice location address for Kirk Dettloff is 5333 Mcauley Dr Rm 4001, Ypsilanti, MI and can be reached out via phone at 734-712-3980.

Location: 5333 Mcauley Dr Rm 4001, Ypsilanti, MI, 48236-1319
person
Provider Profile Details
NPI Number
1346852464
Provider Name
Kirk Dettloff
Credential
Provider Entity Type
Individual
Gender
Male
Address
5333 Mcauley Dr Rm 4001, Ypsilanti, MI, 48236-1319
Phone Number
734-712-3980
Fax Number
Provider Enumeration Date
08/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5333 Mcauley Dr Rm 4001
City
State
Zip
48197-1099
Phone Number
734-712-3980
Fax Number
person
Provider Business Mailing Address Details
Address
5333 Mcauley Dr Rm 4001
City
State
Zip
48197-1099
Phone Number
734-712-3980
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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