ALAN JAY DETTMER

GRAND RAPIDS, MN
NPI1962479436
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  7152)
Enumeration Date2006-03-03
Last Update Date2014-02-14
Business Address
Mr. ALAN JAY DETTMER PT
102 DONOVAN DR
GRAND RAPIDS, MN 55744
Phone number: 218-259-2143
Mailing Address
Mr. ALAN JAY DETTMER PT
102 DONOVAN DR
GRAND RAPIDS, MN 55744
Phone number: 218-259-2143