Organization
DETTWILER CHIROPRACTIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DANIEL DETTWILER D.C. (PRESIDENT)
(317) 902-5802
Entity
Organization
Contact information
Practice address
9865 E 116TH ST, SUITE 150, FISHERS, IN 46037-9231
(317) 841-1209
Mailing address
11711 WEDGEPORT LN, FISHERS, IN 46037-7985
(317) 902-5802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002271A
IN
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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