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1346227477
MICHAEL L DETERS
WATERLOO, IA
NPI
1346227477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IA 19538)
Enumeration Date
2005-12-29
Last Update Date
2008-09-26
Business Address
-- MICHAEL L DETERS MD
1443 PROSPECT BLVD
WATERLOO, IA 50701-4953
Phone number: 319-234-6553
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Mailing Address
-- MICHAEL L DETERS MD
PO BOX 2880
WATERLOO, IA 50704-2880
Phone number: 319-272-2152
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