Individual
DR. MICHELLE D DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
8280 NW 27 ST, SUITE 505, DORAL, FL 33122-1905
(305) 673-0033
(305) 673-9259
Mailing address
8200 NW 27 ST, STE 108, DORAL, FL 33122-1902
(786) 662-3893
(786) 662-3899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2403
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2403
FL
213ES0131X
Foot Surgery Podiatrist
PO2403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390635100
—
FL
Enumeration date
10/02/2006
Last updated
04/10/2025
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