Individual
DR. RONALD L DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15655 STATE ROUTE 170, STE. C, EAST LIVERPOOL, OH 43920-9069
(330) 385-3895
(330) 385-5772
Mailing address
3437 W GARFIELD RD, COLUMBIANA, OH 44408-9744
(330) 482-2743
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3166T1622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324741
—
OH
Enumeration date
10/16/2006
Last updated
07/09/2007
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