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Individual
JOSHUA A DETTINGER
Active
Individual
JOSHUA A DETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11017295A
IN
207Q00000X
Family Medicine Physician
Primary
2016-01475
NC
Other
Enumeration date
06/13/2013
Last updated
09/27/2021
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