Individual
DONALD GENE DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7000
(919) 350-8959
Mailing address
1121 SITUS CT STE 170, RALEIGH, NC 27606-4279
(919) 834-2767
(919) 851-4660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24378
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8928366
—
NC
Enumeration date
07/09/2006
Last updated
01/23/2019
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