Geoffrey R. Detolve, MD

Pediatrics Physician · Kalamazoo, MI

Individual Active NPI

NPI number 1184604795

Practice location

601 John St
Suite E352
Kalamazoo, MI 49007-5341
Phone
(269) 341-8986
Fax
(269) 341-6236

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NPI record

NPI
1184604795
Entity type
Individual (Type 1)
Enumeration date
January 19, 2006
Last updated
November 17, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 4301064382 MI

About Dr. Detolve

Geoffrey R. Detolve, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 601 John St, Suite E352, Kalamazoo, MI 49007-5341. The NPI number 1184604795 was assigned on January 19, 2006 and the record was last updated on November 17, 2014.

Dr. Detolve lists a license in the registry: #4301064382 (MI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Geoffrey R. Detolve, MD?

The NPI number is 1184604795.

What is the phone number of Dr. Detolve?

The phone number listed for the practice location is (269) 341-8986.

Where is Dr. Detolve located?

601 John St, Suite E352, Kalamazoo, MI 49007-5341.

What is the taxonomy code for Dr. Detolve?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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