Robert Franklin Dettmer Sr., M.D.

General Practice Physician · Ironton, MO

Individual Active NPI

NPI number 1194074302

Practice location

3 Longwood Lane
Ironton, MO 63650-0307
Phone
(573) 546-2741
Fax
(573) 546-2741

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NPI record

NPI
1194074302
Entity type
Individual (Type 1)
Enumeration date
September 4, 2012
Last updated
September 4, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 28191M.D. MO

Mailing address

PO Box 307
#3 Longwood Lane
Ironton, MO 63650-0307
Phone
(573) 546-2741
Fax
(573) 546-2741

About Dr. Dettmer

Robert Franklin Dettmer Sr., M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 3 Longwood Lane, Ironton, MO 63650-0307. The NPI number 1194074302 was assigned on September 4, 2012 and the record was last updated on September 4, 2012.

Dr. Dettmer lists a license in the registry: #28191M.D. (MO) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Franklin Dettmer Sr., M.D.?

The NPI number is 1194074302.

What is the phone number of Dr. Dettmer?

The phone number listed for the practice location is (573) 546-2741.

Where is Dr. Dettmer located?

3 Longwood Lane, Ironton, MO 63650-0307.

What is the taxonomy code for Dr. Dettmer?

The primary taxonomy code is 208D00000X – General Practice 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.