Individual
ABBY M DETTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1575 LOOKOUT DR, NORTH MANKATO, MN 56003-2503
(507) 625-1811
Mailing address
1575 LOOKOUT DR, NORTH MANKATO, MN 56003-2503
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50395
MN
207Q00000X
Family Medicine Physician
R-7613
IA
Other
Enumeration date
08/11/2006
Last updated
11/09/2023
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