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Individual

ELIZABETH L. DETSCHELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
530 SOUTH ST, SUITE 380, GREENSBURG, PA 15601-2775
(724) 261-5556
(724) 837-8984
Mailing address
134 INDUSTRIAL PARK RD STE 1500, GREENSBURG, PA 15601-8153
(724) 850-6933
(724) 522-4002

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
259432
NY
208600000X
Surgery Physician
259432
NY
2086S0129X
Vascular Surgery Physician
Primary
MD430967
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030107830001
PA
Enumeration date
09/23/2008
Last updated
12/26/2019
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