Individual
DR. ROBERT FRANKLIN DETTMER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 LONGWOOD LANE, IRONTON, MO 63650-0307
(573) 546-2741
(573) 546-2741
Mailing address
PO BOX 307, #3 LONGWOOD LANE, IRONTON, MO 63650-0307
(573) 546-2741
(573) 546-2741
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
28191M.D.
MO
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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