Individual
MR. ROBERT DETLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 FAWCETT AVE, MCKEESPORT, PA 15132-1409
(412) 673-2151
(412) 672-7201
Mailing address
901 FAWCETT AVE, MCKEESPORT, PA 15132-1409
(412) 673-2151
(412) 672-7201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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