DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SAMUEL DEAN DETWEILER, MD

Active Sole Proprietor

MR. SAMUEL DEAN DETWEILER, MD is a Family Medicine healthcare provider located in NORTHVILLE, New York. NPI 1437299237 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · NORTHVILLE, NY

Registration Details

NPI Number
1437299237
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2007 (19.510759757374 yrs)
Last Updated
Sep 21, 2010
Licenses
157873 (NY)
157873 (NY)
Sole Proprietor
Yes

Practice Information

Address
331 BRIDGE ST
ST. MARY'S HOSPITAL, NORTHVILLE FAMILY HEALTH CENTER
NORTHVILLE, NY, 12134
Browse NY providers · Browse ZIP 12134
Phone
5188634200
Fax
5188634787
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in NORTHVILLE, NY

Name Credential NPI
VICTOR NIKOLSKY MD 1053575480
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.