Tracy Lynn Detwiler, PAC
NPI #1154490738 in Bellefontaine, Ohio
Provider Information
- NPI Number
- 1154490738
- Entity Type
- Individual
- Name
- Tracy Lynn Detwiler, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Dec 5, 2023
Practice Location
- Address
- 212 E COLUMBUS AVE STE 1
- City
- Bellefontaine
- State
- Ohio
- ZIP Code
- 43311-2033
- Phone
- (937) 599-1411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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