Individual
CLAIRE J DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-1111
Mailing address
2301 ERWIN ROAD, DURHAM, NC 27710
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD2019-0101
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD2019-0101
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
11/21/2024
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