Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW JOSEPH DETTORE, D.O.
Active Sole ProprietorANDREW JOSEPH DETTORE, D.O. is a Pediatrics healthcare provider located in BROWNSTOWN TWP, Michigan. NPI 1649489808 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · BROWNSTOWN TWP, MI
Registration Details
- NPI Number
- 1649489808
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.226240230542 yrs)
- Last Updated
- Feb 27, 2014
- License
-
5101014925 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23050 WEST RDSTE. 110BROWNSTOWN TWP, MI, 481831472Browse MI providers · Browse ZIP 48183
- Phone
- 7346719800
- Fax
- 7346717690
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in BROWNSTOWN TWP, MI
| Name | Credential | NPI |
|---|---|---|
| DIONISIA ATIENZA SY | MD | 1790787562 |
| MELISSA WYLIE | D.O. | 1043419674 |
| SUSAN KAY KOWALSKI | CPNP | 1750722252 |
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.