Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY DETERS, M.D.
ActiveGREGORY DETERS, M.D. is a Family Medicine healthcare provider located in MATTOON, Illinois. NPI 1497861702 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MATTOON, IL
Registration Details
- NPI Number
- 1497861702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2006 (19.98623978904 yrs)
- Last Updated
- Sep 21, 2018
- License
-
036-087539 (IL)
Practice Information
- Address
-
200 RICHMOND AVE EMATTOON, IL, 619384652Browse IL providers · Browse ZIP 61938
- Phone
- 2172347000
- Fax
- 2172385484
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| JEFFREY J JENSON | M.D. | 1740211390 |
| ANDREW ROBERT GAGE | M.D. | 1013931567 |
| DR. DAWN MIESNER | D.O. | 1255343026 |
| ROBERT WOCHNER | MD | 1164538864 |
| MARLENE KREMER | M.D. | 1831205749 |
| DR. MATTHEW JAMES DORNER | M.D. | 1528176880 |
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.