Individual
DR. FREDERICK GUSTAV DETTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 N 68TH ST, SCOTTSDALE, AZ 85251-1143
(480) 481-3076
(480) 481-9208
Mailing address
4801 N 68TH ST, SCOTTSDALE, AZ 85251-1143
(480) 481-3076
(480) 481-9208
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
25333
AZ
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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