Individual
DR. ARTHUR W DETORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10501 CORPORATE DR, FORT WAYNE, IN 46845-1700
(260) 373-7009
(260) 373-7037
Mailing address
14118 WHISKEY CREEK DR, FORT WAYNE, IN 46814-9510
(260) 373-7009
(260) 373-7037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01035316A
IN
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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