NPI 1285623819
Carl Ray Dettwiler, MD
Practice location
- Address
- 2517 17th Sreet Suite B, Lewiston, ID 83501-0001
- Phone
- (208) 743-4373
- Fax
- (208) 743-3369
- Mailing address
- 2517 17th St Suite B, Lewiston, ID 83501-6311
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1285623819
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Oct 2005
- Record last updated
- 16 Dec 2025
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.