Individual
DR. DAVID K DEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E 1ST ST, STE 326 KSB MEDICAL GROUP, DIXON, IL 61021-3166
(815) 284-5719
(815) 285-5894
Mailing address
215 E 1ST ST, STE 326 KSB MEDICAL GROUP, DIXON, IL 61021-3166
(815) 284-5719
(815) 285-5894
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036-0482660
IL
208D00000X
General Practice Physician
Primary
036-0482660
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048266
—
IL
Enumeration date
01/27/2006
Last updated
10/17/2008
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