Individual
KAITLIN V. DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(423) 506-6234
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0102205602
VA
208600000X
Surgery Physician
5101021015
MI
208600000X
Surgery Physician
Primary
5151010296
MI
Other
Enumeration date
03/01/2014
Last updated
03/25/2025
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