SearchMichigan363A00000X

Gary Detweiler, PA-C

NPI 1396797924 · on the registry since 2006

Practice

Address
475 S State St
Sparta, MI 49345
Phone
(616) 685-1300
Fax
(616) 887-5989
Organisation at this address
Mercy Health Partners
Mercy Health Partners
Trinity Health - Michigan
Saint Mary'S Health Services
Advantage Health/Saint Mary'S Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan