Individual
DR. MICHAEL T DETWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1940 S MAIN ST, EUREKA, IL 61530-1666
(309) 467-2210
Mailing address
1940 S MAIN ST, EUREKA, IL 61530-1666
(309) 467-2210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.007176
IL
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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