Whalio Doctors

NPI 1073538427

David a Dettmann, DO

Practitioner Psychiatry Physician Lewiston, ME

Practice location

Address
100 Campus Ave Suite 208, Lewiston, ME 04240-6040
Phone
(207) 777-8974
Fax
(207) 777-8946
Mailing address
PO Box 4140, Boston, MA 02241-4140

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 1658 (ME)

Registry record

NPI
1073538427
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Jul 2006
Record last updated
10 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.