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1326319724
ROBERT WAYNE DETTMER
FORT WAYNE, IN
NPI
1326319724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine Nephrology
(Licence: IN 01022140A)
Enumeration Date
2012-01-18
Last Update Date
2012-01-18
Business Address
DR. ROBERT WAYNE DETTMER M.D.
2935 AMBLESIDE WAY
FORT WAYNE, IN 46804-2443
Phone number: 260-459-7657
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Mailing Address
DR. ROBERT WAYNE DETTMER M.D.
2935 AMBLESIDE WAY
FORT WAYNE, IN 46804-2443
Phone number: 260-459-7657
Copy
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