Male or Other

Dr. David G. Detert MD

Family Medicine Physician in Cannon Falls, MN(View on Map)

Full Name

Dr. David G Detert MD

NPI Number

1902872641

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/23/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

23504

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 441
1705 N HIGHWAY 20

City

Litchfield
Cannon Falls

State

MN
MN

Postal Code

55355
55009-1187

Country

US
US

Telephone Number

(320) 693-3233
(507) 288-3443

Identifiers

Identifier

467805200

Identifier State

MN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/04/2014

Provider Address

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