Individual
ALAN L. DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4210
Mailing address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20862
WI
208M00000X
Hospitalist Physician
20862
WI
Other
Enumeration date
06/13/2005
Last updated
10/29/2015
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