Paul Finly Detjen, MD

NPI #1396739298 in Kenilworth, Illinois

Provider Information

NPI Number: 1396739298
Entity Type: Individual
Name: Paul Finly Detjen, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Allergy & Immunology
Credential: MD
Enumeration Date: Sep 7, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 534 GREEN BAY RD
City: Kenilworth
State: Illinois
ZIP Code: 60043-1801
Phone: (847) 256-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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