Alan L Detwiler, MD | |
125 Hospital Dr, Watertown, WI 53098-3303 | |
(920) 262-4210 | |
Not Available |
Full Name | Alan L Detwiler |
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Gender | Male |
Speciality | Internal Medicine |
Location | 125 Hospital Dr, Watertown, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871597211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20862 (Wisconsin) | Primary |
208M00000X | Hospitalist | 20862 (Wisconsin) | Secondary |
Entity Name | Apogee Medical Group Wisconsin Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629415591 PECOS PAC ID: 2365677952 Enrollment ID: O20131107001094 |
Mailing Address | Practice Location Address |
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Alan L Detwiler, MD 125 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 262-4210 | Alan L Detwiler, MD 125 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 262-4210 |
Mr. Moazam Jah Samdani, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 123 Hospital Dr, Suite 2009, Watertown, WI 53098 Phone: 920-262-9833 Fax: 920-262-9834 | |
Edward Fairfax Frost, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094 Phone: 262-928-5100 | |
Dr. Zachary Richardson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-245-5741 | |
Mohamed H Yafai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Drive, Suite 2009, Watertown, WI 53098 Phone: 920-262-9833 Fax: 920-262-9834 |