Individual
DR. DAVID G DETERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 N HIGHWAY 20, CANNON FALLS, MN 55009-1187
(507) 288-3443
(507) 529-6622
Mailing address
PO BOX 441, 520 SOUTH SIBLEY AVE, LITCHFIELD, MN 55355
(320) 693-3233
(320) 693-3290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23504
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467805200
—
MN
Enumeration date
02/23/2006
Last updated
03/04/2014
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