CARL DETTWILER, MD
Specialist
Active
Individual
NPI: 1285623819
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | M5110 (ID) |
Frequently Asked Questions
NPI 1285623819 is the National Provider Identifier for CARL DETTWILER, MD, a Specialist provider located in Lewiston, ID. This NPI was enumerated on October 17, 2005.
CARL DETTWILER, MD practices at 2517 17TH SREET, SUITE B, Lewiston, ID 83501.
Quick Facts
- NPI
- 1285623819
- Type
- Individual
- Enumerated
- Oct 17, 2005
- Last Updated
- Dec 16, 2025
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