Individual
JEFFREY DANIEL DETTWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9865 E 116TH ST, SUITE 150, FISHERS, IN 46037-9231
(317) 902-5802
Mailing address
9865 E 116TH ST, STE 150, FISHERS, IN 46037-9239
(317) 902-5802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002271A
IN
Other
Enumeration date
09/28/2006
Last updated
07/10/2019
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