Individual
TODD DETTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNM DEPT OF EMERGENCY MEDICINE MSC11 6025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 272-6503
Mailing address
5605 N MACARTHUR BLVD STE 740, IRVING, TX 75038-2626
(214) 960-5681
(214) 960-5681
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
AB7003469-B439
NM
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD2010-0476
NM
207P00000X
Emergency Medicine Physician
AB7003469-B439
NM
207P00000X
Emergency Medicine Physician
MD 60152927
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2010-0476
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
W1154
TX
2084A2900X
Neurocritical Care Physician
W1154
TX
Other
Enumeration date
07/10/2007
Last updated
03/12/2026
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