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Robert W Detlefsen

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NPI Number Detailed Information

Provider Information:

Name: Robert W Detlefsen
Gender: M
Provider License Number If Given: G-115825

NPI Information:

NPI: 1134206873
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 11/1/2006

Last Update Date: 9/16/2020

Provider Business Mailing Address:

Address: 5060 COUNTY ROAD 306
Fulton, MO 65251
Phone Number: 5735811196
Fax Number: 5735811981

Provider Business Practice Location Address:

Address: 455 N MCKENZIE LN
North Liberty, IA 52317
Phone Number: 3194712479
Fax Number:

Provider Taxonomy:

Primary: 363LP0808X
Secondary (if any): 363LP0808X
State: IA

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About Robert W Detlefsen

Robert W Detlefsen ( ROBERT W DETLEFSEN ) is Definition Nurse Practitioner Physician in North Liberty, IA. The NPI Number for Robert W Detlefsen is 1134206873.
The current location address for Robert W Detlefsen is 455 N MCKENZIE LN North Liberty, IA 52317 and the contact number is 5735811196 and fax number is 5735811981. The mailing address for Robert W Detlefsen is 5060 COUNTY ROAD 306 Fulton, MO 65251- 3194712479 (mailing address contact number - 5735811196).
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FAQs:

What is the NPI Number for Robert W Detlefsen ?


Answer: The NPI Number for Robert W Detlefsen is 1134206873

Where is Robert W Detlefsen located?


Answer: Robert W Detlefsen is located at 455 N MCKENZIE LN North Liberty, IA 52317.

What is the specialty for Robert W Detlefsen ?


Answer: The Specialty of Robert W Detlefsen is Definition Nurse Practitioner Physician.

Are there any online reviews for Robert W Detlefsen ?


Answer: Not yet!

Are there any other health care providers in North Liberty, IA?


Answer: Yes, there are given below...

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