Individual
ANDREW STEPHEN DETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
332 E STATE ST, COLUMBUS, OH 43215-4732
(614) 788-5400
(614) 788-5500
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 788-5400
(614) 788-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.148283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405837
—
OH
Enumeration date
03/31/2020
Last updated
01/28/2026
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