DR. Nicholas Walter Detore, M.D.

NPI #1942438197 in Mentor, Ohio

Provider Information

NPI Number: 1942438197
Entity Type: Individual
Name: DR. Nicholas Walter Detore, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 26, 2009
Last Updated: Mar 2, 2021

Practice Location

Address: 9485 MENTOR AVE
Address 2: SUITE 210
City: Mentor
State: Ohio
ZIP Code: 44060-4597
Phone: (440) 205-5892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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