Individual
DR. MICHAEL W DETAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E 5TH AVE # 1N, SPOKANE, WA 99202-1349
(505) 342-3100
(509) 342-3120
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD00032015
WA
207ZC0500X
Cytopathology Physician
MD00032015
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00032015
WA
Other
Enumeration date
06/09/2006
Last updated
01/22/2025
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