Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT WAYNE DETTMER, M.D.
Active Sole ProprietorNephrology · FORT WAYNE, IN
Registration Details
- NPI Number
- 1326319724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2012 (14.322703133871 yrs)
- Last Updated
- Jan 18, 2012
- License
-
01022140A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2935 AMBLESIDE WAYFORT WAYNE, IN, 468042443Browse IN providers · Browse ZIP 46804
- Phone
- 2604597657
- Fax
- 2604597658
- Primary Specialty
-
Nephrology
207RN0300X
Other Nephrology Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| MARK RUMANCIK | MD | 1467454470 |
| DR. KANAKAPURA VENKATAKRISHNA | MD | 1144222142 |
| IRFAN MUNIR | — | 1073515086 |
| DR. GUY CHADWICK ASHER JR. | M.D. | 1396731212 |
| DR. MELANIE S BARRIDO | M.D. | 1063460848 |
| BADAL RAVAL | MD | 1427009653 |
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.