Carl Ray Dettwiler, MD

NPI #1285623819 in Lewiston, Idaho

Provider Information

NPI Number: 1285623819
Entity Type: Individual
Name: Carl Ray Dettwiler, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Oct 17, 2005
Last Updated: Dec 16, 2025

Practice Location

Address: 2517 17TH SREET
Address 2: SUITE B
City: Lewiston
State: Idaho
ZIP Code: 83501-0001
Phone: (208) 743-4373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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