# DR. JULIE SUZANNE DETWILER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932197092
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2992 | OH | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 12/04/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000291058 | ANTHEM BCBS NPI | OH |
| 05 | — | 2362250 | — | OH |
| 01 | — | 450511098027 | CARESOURCE | OH |