Samuel T. Detwiler, D.o. LLC

NPI #1578648895 in Kinsman, Ohio

Provider Information

NPI Number: 1578648895
Entity Type: Organization
Organization Name: Samuel T. Detwiler, D.o. LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 26, 2006
Last Updated: Sep 9, 2007

Practice Location

Address: 8231 MAIN ST
City: Kinsman
State: Ohio
ZIP Code: 44428-9514
Phone: (330) 876-1111

Authorized Official

Name: SAMUEL T DETWILER, D.O. LLC
Title: PRESIDENT
Phone: (330) 876-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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