GARY DETWEILER, PA-C

Physician Assistant

Active Individual
NPI: 1396797924

Practice Address

475 S STATE ST
Sparta, MI 49345

Phone: (616) 685-1300

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 5601002961 (MI)

Frequently Asked Questions

NPI 1396797924 is the National Provider Identifier for GARY DETWEILER, PA-C, a Physician Assistant provider located in Sparta, MI. This NPI was enumerated on May 16, 2006.
GARY DETWEILER, PA-C practices at 475 S STATE ST, Sparta, MI 49345.

Quick Facts

NPI
1396797924
Type
Individual
Enumerated
May 16, 2006
Last Updated
Jun 26, 2009

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