Individual
MICHELLE M DETWILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
11471 WATKINS RD, MARYSVILLE, OH 43040-8708
(937) 243-0635
Mailing address
11471 WATKINS RD, MARYSVILLE, OH 43040-8708
(937) 243-0635
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3607
OH
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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