Michael Christopher Dettloff, D.O. Valid NPI

Individual provider · Emergency Medicine Physician · Pontiac, MI

NPI

1023463312

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

5101022471 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2016-04-25

Last updated

2016-05-25