Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL RAY DETTWILER, MD
ActiveSpecialist · LEWISTON, ID
Registration Details
- NPI Number
- 1285623819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2005 (20.531233122953 yrs)
- Last Updated
- Dec 16, 2025
- License
-
M5110 (ID)
Practice Information
- Address
-
2517 17TH SREETSUITE BLEWISTON, ID, 835010001Browse ID providers · Browse ZIP 83501
- Phone
- 2087434373
- Fax
- 2087433369
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| MICHAEL K PARENT | MD | 1578552139 |
| DR. GARY MARVIN THORNE | MD, FACS | 1841306339 |
| JOHN LINDSEY WILLIAMS | — | 1174699730 |
| DANIEL RAYMOND MILLER | MD | 1154468775 |
| SAMUEL TEPPER | D.V.M. | 1033653639 |
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.