ADAM GENTRY DETIG

INDIANAPOLIS, IN
NPI1629604939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002938A)
Enumeration Date2020-03-18
Last Update Date2023-05-16
Business Address
Mr. ADAM GENTRY DETIG PA-C
5255 E STOP 11 RD STE 300
INDIANAPOLIS, IN 46237-6341
Phone number: 317-528-4723
Mailing Address
Mr. ADAM GENTRY DETIG PA-C
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800