Individual
HOWARD D DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N. P.
Contact information
Practice address
5604 E WHITE OAK LN, MARENGO, IN 47140-8413
(812) 365-3221
(812) 365-9502
Mailing address
420 W LONGEST ST, PO BOX 270, PAOLI, IN 47454-8821
(812) 723-3944
(812) 723-5292
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000802A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000890A
—
IN
Enumeration date
08/30/2006
Last updated
06/20/2011
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