Individual
ERIC JAMES DETTLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 MERCY DR STE 100, MUSKEGON, MI 49444-1833
(231) 733-1326
(231) 733-5212
Mailing address
1400 MERCY DR STE 100, MUSKEGON, MI 49444-1833
(231) 733-1326
(231) 733-5212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008640
MI
Other
Enumeration date
11/23/2016
Last updated
08/09/2024
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