Individual
DAWN M DETWILER BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
54938 STATE ROAD 13, MIDDLEBURY, IN 46540-8608
(574) 825-8685
(574) 825-1256
Mailing address
2310 CALIFORNIA ROAD, ELKHART, IN 46514-1228
(574) 264-4163
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01045293A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01045293
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123720
—
IN
Enumeration date
07/29/2005
Last updated
02/02/2010
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