Mr Daniel Brett Detloff, is a
Student In An Organized Health Care Education/training Program based in Southgate, Michigan. Mr Daniel Brett Detloff is licensed to practice in * (Not Available) (license number ) and his current practice location is
13101 Allen Rd, Southgate, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 785-7700.
NPI number for Mr Daniel Brett Detloff is 1053688382 and his current mailing address is 7273 Bramell, Detroit, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053688382.
Healthcare Provider's Profile
| Full Name | Mr Daniel Brett Detloff |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 13101 Allen Rd, Southgate, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053688382
- Provider Enumeration Date: 12/01/2011
- Last Update Date: 12/01/2011
Medical Identifiers
Medical identifiers for Mr Daniel Brett Detloff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053688382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Daniel Brett Detloff is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Daniel Brett Detloff,
7273 Bramell,
Detroit, MI 48239-1052
Ph: (313) 587-2021 | Mr Daniel Brett Detloff,
13101 Allen Rd,
Southgate, MI 48195-2216
Ph: (734) 785-7700 |
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