Organization
ARCHIBALD W. DETTMAN
Active
Other names
Shiawassee Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARCHIBALD W. DETTMAN D.O. (OWNER)
(989) 743-3415
Entity
Organization
Contact information
Practice address
115 N SHIAWASSEE ST, CORUNNA, MI 48817-1435
(989) 743-3415
(989) 743-6180
Mailing address
115 N SHIAWASSEE ST, CORUNNA, MI 48817-1435
(989) 743-3415
(989) 743-6180
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101006898
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH2727
TRAVELERS MC GROUP NUMBER
MI
Enumeration date
07/18/2006
Last updated
06/16/2008
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