Individual
DR. DANIEL ANDREW DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
933 S HIGH ST, COLUMBUS, OH 43206-2523
(614) 444-6366
(614) 269-4155
Mailing address
933 SOUTH HIGH STREET, COLUMBUS, OH 43206
(614) 444-6366
(614) 269-4155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6029/T2944
OH
Other
Enumeration date
08/26/2011
Last updated
06/20/2013
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