Individual
DR. TODD M DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 W 12TH AVE, EMPORIA, KS 66801-2587
(620) 343-2900
(620) 343-9484
Mailing address
1301 W 12TH AVE, EMPORIA, KS 66801-2587
(620) 343-2900
(620) 343-9484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-26374
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191720A
—
KS
05
—
30004489390001
—
KS
Enumeration date
05/15/2006
Last updated
03/03/2026
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