DR. Donald Albert Deshetler JR., MD

NPI #1073510558 in Granville, Ohio

Provider Information

NPI Number: 1073510558
Entity Type: Individual
Name: DR. Donald Albert Deshetler JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 30, 2005
Last Updated: Feb 24, 2016

Practice Location

Address: 2000 NEWARK GRANVILLE RD
Address 2: SUITE 100
City: Granville
State: Ohio
ZIP Code: 43023-9135
Phone: (740) 587-0087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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