Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERICK GUSTAV DETTMANN, MD
Active Sole ProprietorDR. FREDERICK GUSTAV DETTMANN, MD is a Ambulatory Fertility Facility healthcare provider located in SCOTTSDALE, Arizona. NPI 1003280298 is currently active in the NPPES registry. Verify at CMS.
Ambulatory Fertility Facility · SCOTTSDALE, AZ
Registration Details
- NPI Number
- 1003280298
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2015 (10.535426306501 yrs)
- Last Updated
- Nov 25, 2015
- License
-
25333 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4801 N 68TH STSCOTTSDALE, AZ, 852511143Browse AZ providers · Browse ZIP 85251
- Phone
- 4804813076
- Fax
- 4804819208
- Primary Specialty
-
Ambulatory Fertility Facility
261QA0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.