Individual
DR. ADAM DEUTCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 MAIN ST, SALMON, ID 83467-0000
(208) 756-6212
(208) 756-6336
Mailing address
203 S DAISY ST, SALMON, ID 83467-0000
(208) 756-5600
(208) 756-4169
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0424797
KS
208600000X
Surgery Physician
11652
MT
208600000X
Surgery Physician
119790
MO
208600000X
Surgery Physician
DR-33966
CO
208600000X
Surgery Physician
Primary
M-9041
ID
Other
Enumeration date
05/11/2006
Last updated
11/11/2021
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