Individual
MICHAEL DETMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7326 W. CHEYENNE AVE., LAS VEGAS, NV 89129
(702) 386-4700
(702) 386-4701
Mailing address
7326 W. CHEYENNE AVE., LAS VEGAS, NV 89129-0450
(702) 386-4700
(702) 386-4701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4390
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002880
—
NV
Enumeration date
12/22/2005
Last updated
05/23/2012
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