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1740818046
ANDREW STEPHEN DETTY
COLUMBUS, OH
NPI
1740818046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35.148283)
Enumeration Date
2020-03-31
Last Update Date
2023-09-27
Business Address
ANDREW STEPHEN DETTY MD
290 E TOWN ST
COLUMBUS, OH 43215-4602
Phone number: 614-566-9108
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Mailing Address
ANDREW STEPHEN DETTY MD
290 E TOWN ST
COLUMBUS, OH 43215-4602
Phone number: 614-788-5400
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