GARY DETWEILER

SPARTA, MI
NPI1396797924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601002961)
Enumeration Date2006-05-16
Last Update Date2009-06-26
Business Address
-- GARY DETWEILER PA-C
475 S STATE ST
SPARTA, MI 49345-1549
Phone number: 616-685-1300
Mailing Address
-- GARY DETWEILER PA-C
245 STATE ST SE
GRAND RAPIDS, MI 49503-4328
Phone number: 616-685-1808
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