Individual
DR. DOYLE D DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MEDICAL CENTER DR, NEWTON, KS 67114-8780
(316) 283-2700
(316) 804-6262
Mailing address
600 MEDICAL CENTER DR, NEWTON, KS 67114-8780
(316) 283-2700
(316) 804-6262
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0427014
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105667
BLUE SHIELD PROVIDER NUMB
KS
01
—
111178
BLUE SHIELD GROUP NUMBER
KS
Enumeration date
01/06/2006
Last updated
07/09/2007
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