Individual
DR. NICHOLAS WALTER DETORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9485 MENTOR AVE, SUITE 210, MENTOR, OH 44060-4597
(440) 205-5892
(440) 205-5744
Mailing address
9485 MENTOR AVE, SUITE 210, MENTOR, OH 44060-4597
(440) 205-5892
(440) 205-5744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.098967
OH
Other
Enumeration date
06/26/2009
Last updated
03/02/2021
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